| NPI | 1629856547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA L WELLING Executive Director 707-280-4448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2023-09-20 |