| NPI | 1396954087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON BALL Program Manager 707-765-0102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 496801762) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |