| NPI | 1336203355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE W. JOACHIM Clinical Counselor 707-571-8131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFC24484) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |