| NPI | 1346459781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIMI G DONOHUE Executive Director 707-571-2215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 496801971) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2011-05-27 |