| NPI | 1801124482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBALL CONVERSE PIER Executive Director 530-414-1885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 44285) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2012-10-24 |