| NPI | 1164559936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN EUGENIA SHAW Executive Director 707-528-8712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 4087) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |