| NPI | 1891930301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID NYLUND Clinical Director 916-719-5581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA LCS14463) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2008-12-11 |