| NPI | 1962616433 |
|---|---|
| Other Name | 3400 REGIONAL TEAM |
| Entity Type | Organization |
| Authorized Contact | DIANA STORNETTA Compliance Auditor Accountant Iii 707-565-4782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |