| NPI | 1982192084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE VANNEMAN Interim Executive Director 916-783-5207 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2024-06-17 |