| NPI | 1033549142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN WILLIAM WALLACE PETERS CEO 805-689-3577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: CA 40978) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2013-11-26 |