| NPI | 1760106405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB DANIEL ROSEN Managing Mental Health Clinician 707-382-2445 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2022-09-27 |