| NPI | 1245975978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KOVEN Director 707-484-4665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 273R00000X Psychiatric Unit |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2024-04-26 |