| NPI | 1356458830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA NATHANSON Mental Health Social Worker 707-562-8209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCS 22073) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2008-08-05 |