| NPI | 1821888249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARIE CLARK Nurse Practitioner, President 707-757-3117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2025-05-08 |