| NPI | 1932286168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENELLE CAZARES Chief Executive Officer 916-441-0226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA 34BY) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-03-02 |