| NPI | 1720856743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNIE SUE LOCKLIN-LEE Executive Assistant 707-443-7077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2023-12-19 |