| NPI | 1427597228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE TIVONI MACK Clinical Social Worker 707-225-3996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: CA 73152) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |