| NPI | 1043456650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM EDWARD VOLLERO President 805-969-7972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA G28181) |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2009-09-29 |