| NPI | 1780993329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO QUINTO Authorizing Physician 916-453-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 64256) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |