| NPI | 1306681226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA LOGAN Business Administrator 707-472-0350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-08-02 |