| NPI | 1730440223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTE MARIE LABATAILLE Owner/President 707-568-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G24040) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC25326) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A33863) | |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2018-01-08 |