| NPI | 1407068992 |
|---|---|
| Other Name | DMH CREATIVE LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | DIANA STORNETTA Compliance Auditor Accountant Iii 707-565-4782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |