| NPI | 1629124037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY ZHANG Department Analyst 707-565-7846 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2025-02-03 |