| NPI | 1255725313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS POPE Clinical Director 707-579-0465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA IMF6431) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA IMF64321) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-26 |