| NPI | 1881923456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER SPENCE Manager 707-645-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA 25635) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA 25635) |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2009-12-10 |