| NPI | 1841605961 |
|---|---|
| Doing Business As | FULL HEART TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | WILLIAM J FORMAKER Owner 707-544-5717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT29030) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |