| NPI | 1992000129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA IGNATOWICZ Medical Director 916-787-8817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: CA RN776406) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-01-19 |