NPI | 1831459742 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIN ELIZABETH CHARGIN Director/Owner 916-442-2396 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 1-09-5664) |
Enumeration Date | 2012-05-24 |
Last Update Date | 2012-05-24 |