| NPI | 1073131942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA MONDRAGON Account Manager 707-634-9037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2022-06-01 |