NPI | 1164820874 |
---|---|
Other Name | 1370 IN CUSTODY PROGRAM |
Entity Type | Organization |
Authorized Contact | DIANA STORNETTA Supervising Accountant 707-565-4833 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2014-12-11 |
Last Update Date | 2015-01-16 |