| NPI | 1487908620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZE CRIBBS Clinical Director 707-560-1051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA IMF55305) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2024-04-01 |