| NPI | 1831506658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON MARIE SHIELDS Program Manager 707-575-0979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-17 |