| NPI | 1215087697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK A TRAVISS President 707-526-2595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS4035 & LCS5260) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |