| NPI | 1447396403 |
|---|---|
| Other Name | CONDITIONAL RELEASE PROGRAM |
| Entity Type | Organization |
| Authorized Contact | DIANA L. STORNETTA Accountant Iii Compliance 707-565-4782 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2009-04-22 |