| NPI | 1851763882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER STOCKMAN President 530-888-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 608733) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2016-09-16 |