NPI | 1811302045 |
---|---|
Entity Type | Organization |
Authorized Contact | ALASDAIR JONATHAN PORTEUS Chief Executive Officer 916-737-5555 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550001216) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
171W00000X Contractor | |
251C00000X Day Training, Developmentally Disabled Services | |
251X00000X | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
332U00000X Home Delivered Meals | |
3747P1801X Technician, Personal Care Attendant | |
385H00000X Respite Care | |
Enumeration Date | 2014-06-26 |
Last Update Date | 2022-03-23 |