| NPI | 1134353402 |
|---|---|
| Doing Business As | FOSTER CARE BEHAVIORAL HEALTH EXPANSION - WEST CLARK STREET |
| Entity Type | Organization |
| Authorized Contact | KAROLYN STEIN Mental Health Branch Director 707-268-2990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2009-05-14 |