| NPI | 1518304138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNI SHIPERLY Mental Health Rehab Specialist 707-291-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2013-05-23 |