| NPI | 1841986684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECIL PAUL WILSON Chief Financial Officer 707-825-4065 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-12-18 |