NPI | 1659779759 |
---|---|
Entity Type | Organization |
Authorized Contact | MONICA B STOKER Clinical Counselor 707-479-1158 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA 1734) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: HI 241) |
Enumeration Date | 2014-12-05 |
Last Update Date | 2014-12-05 |