| NPI | 1568854727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN O'TOOLE President 707-829-5057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA 22201) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA 22201) |
| 103TC0700X Psychologist, Clinical (Licence: CA 22201) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2024-07-17 |