| NPI | 1912333766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CORNELL Mental Health Services Case Manager 707-961-0172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |