NPI | 1245046606 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA GONYER Owner 707-816-7958 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-12-10 |
Last Update Date | 2024-12-10 |