| NPI | 1457923989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY ZHANG Department Analyst 707-565-7846 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2023-05-23 |