| NPI | 1588730642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA MAHONEY Director 707-472-2789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QP0905X Clinic/Center, Public Health, State or Local | |
| 291U00000X Clinical Medical Laboratory | |
| 302F00000X Exclusive Provider Organization | |
| 261Q00000X Clinic/Center | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2011-12-28 |