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 |