| NPI | 1326930702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND BEATY Executive Director 707-637-6582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| 251X00000X Supports Brokerage | |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2025-07-18 |