| NPI | 1992940084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT SMITH Director 800-764-8524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFC44097) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2014-02-27 |