| NPI | 1700050895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD ANDERSON Administrator 707-552-7241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA LTC60118F) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |