| NPI | 1700904547 |
|---|---|
| Doing Business As | PINE GROVE PROGRAM |
| Entity Type | Organization |
| Authorized Contact | DONNA WHEELER Mental Health Director 707-268-2990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2022-07-21 |