| NPI | 1770214637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY SILVEIRA Director Of Quality Assurance 209-523-4610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2025-03-31 |