NPI | 1902471394 |
---|---|
Entity Type | Organization |
Authorized Contact | DONNELL M HOLMES Clinical Director 707-303-8410 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-05-26 |
Last Update Date | 2021-05-26 |