| NPI | 1275422966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER SMITH Manager 707-636-4892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 251V00000X Voluntary or Charitable | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-06-30 |