| NPI | 1932574597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILIA BROBERG Owner, President, CEO 844-427-8834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 3831490) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2020-09-16 |