| NPI | 1538206446 |
|---|---|
| Other Name | CHANATE CHILD OPT RESOURCE |
| Entity Type | Organization |
| Authorized Contact | DIANA STORNETTA Accountant Iii Compliance 707-565-4782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |