| NPI | 1285187526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA JERSUSHA KELLY Chief Executive Officer 707-467-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2021-11-03 |