| NPI | 1952883829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWNIELL ZAVALA Associate Director/General Councel 916-366-4600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |