| NPI | 1154207082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIVIVE VENZON Director Of Amin Services 707-784-7651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2025-08-14 |
| Last Update Date | 2025-08-14 |