| NPI | 1598524423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA LOGAN Business Administrator 707-272-1097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2024-03-14 |