NPI | 1164576922 |
---|---|
Doing Business As | CHILDREN'S BEHAVIORAL HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | EMI BOTZLER-ROGERS Behavioral Health Director 707-268-2990 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2007-01-22 |
Last Update Date | 2020-09-03 |