| NPI | 1942036157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA DRIVER Point Of Contact 916-265-8722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-09-12 |