| NPI | 1639991581 |
|---|---|
| Other Name | TAY CAPRICORN WAY |
| Entity Type | Organization |
| Authorized Contact | SEAN BARKER Rmu Manager 707-565-2637 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2024-11-21 |