| NPI | 1124373691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIER BETHANY FLICKER Executive Director 707-822-1136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 1-11-8800) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |