| NPI | 1528230919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY HORTON Psychologist 707-362-0456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY20970) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |