| NPI | 1982008272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN WILLIAMS Executive Director 916-575-8851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA GNB32012-03076) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-15 |