| NPI | 1932242500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE DE LA MORA Executive Director 916-394-2320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 340004EN) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2008-08-13 |