| NPI | 1780055897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MATHIESEN Executive Director 707-545-1670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |