| NPI | 1477075067 |
|---|---|
| Other Name | GIBSON HOUSE |
| Entity Type | Organization |
| Authorized Contact | VICTORIA JERUSHA KELLY Chief Executive Officer 707-467-2010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2020-12-10 |