| NPI | 1831237015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA JERUSHA KELLY Chief Executive Officer 707-467-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 103TR0400X Psychologist, Rehabilitation | |
| 1041C0700X Social Worker, Clinical | |
| 171M00000X Case Manager/Care Coordinator | |
| 171W00000X Contractor | |
| 251300000X Local Education Agency (LEA) | |
| 251B00000X Case Management | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-01-21 |