| NPI | 1376435107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADY KEITH CEO 707-799-9527 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-07-16 |