| NPI | 1013274646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON R. MACMANNIS Clinical Director/Psychologist 805-882-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PL 6727) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LR 9847) |
| 106H00000X Marriage & Family Therapist (Licence: CA PL 6727) | |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2012-04-26 |