| NPI | 1396134615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A. SELCKE Founder, Clinical Director 707-595-5637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 103TC1900X Psychologist, Counseling | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |