| NPI | 1356980866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE GORDON Owner 707-337-4547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2019-12-31 |