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 |