| NPI | 1013066489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN BLUMENTHAL Manager 707-566-7571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA csw5501) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |