| NPI | 1215622337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LYNNE ACKS-STEWART Owner 707-480-7119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-05-05 |