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 |