| NPI | 1447854047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTOPHER KNEGO Operations Manager 707-927-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2025-03-26 |