| NPI | 1811267917 |
|---|---|
| Doing Business As | TRANSITION AGE YOUTH |
| Entity Type | Organization |
| Authorized Contact | EMI BOTZLER-ROGERS Behavioral Health Director 707-268-2990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2024-03-01 |