| NPI | 1902357437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA CLARE SHAW Executive Director 707-961-0172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA LMFT92510) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2017-02-24 |