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 |