| 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 |