NPI | 1619188166 |
---|---|
Former Legal Business Name | LIFEWORKS |
Entity Type | Organization |
Authorized Contact | JILL W. ROYCE Exective Director 707-568-2300 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY13055) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2007-05-25 |
Last Update Date | 2010-08-12 |