| NPI | 1700117082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLARD BLACKWELL CFO 707-575-5387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: CA 496800053) |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2010-01-26 |