NPI | 1356854673 |
---|---|
Entity Type | Organization |
Authorized Contact | GARET DAVID WATERHOUSE Owner 707-387-4525 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2017-11-08 |
Last Update Date | 2022-05-19 |