| NPI | 1922121581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURELIN COGGINS-LEWIS Program Manager 707-795-4336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |