| NPI | 1831219989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA LARSON Director Of Social Rehabilitation 707-575-0979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2012-06-15 |