| NPI | 1699896951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER LEE CODY Owner 707-443-1130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 2080A0000X Pediatrics Adolescent Medicine |
| 363AM0700X Physician Assistant Medical | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |