| NPI | 1265259394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY RAE HERNANDEZ Clinical Social Worker 707-210-2734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-09-20 |
| Last Update Date | 2024-09-20 |