| NPI | 1033926126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALEY MARIE KUMAR President 831-704-6184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-12 |