| NPI | 1932314184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAMINI L MALROUTU Chief Operations Officer 916-383-6783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2016-06-14 |