| NPI | 1831563931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJWANT GILL Lvn/L PT 530-301-7611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA vn241146) |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2015-11-30 |