| NPI | 1245377159 |
|---|---|
| Other Name | CHANATE CHILD OPT. SOUTH |
| Entity Type | Organization |
| Authorized Contact | DIANA STORNETTA Accountant Iii Compliance 707-565-4782 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2010-02-16 |