| NPI | 1891173944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY A MARONEY-PETERSON Co Director 916-514-8030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA C3524117) |
| Enumeration Date | 2015-05-09 |
| Last Update Date | 2015-05-09 |