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 |