| NPI | 1346056215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTEL MARIE KILFORD Psychiatric Nurse Practitioner 707-690-0814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2024-12-31 |