| NPI | 1154768307 |
|---|---|
| Doing Business As | RUSSIAN RIVER COUNSELORS |
| Entity Type | Organization |
| Authorized Contact | ANTONIO MADRID Executive Director 707-865-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist Group Psychotherapy (Licence: CA 110000330) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2013-05-29 |