| NPI | 1043715436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY SAMANTHA COHN Administrator 805-969-0859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: CA 421701581) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: CA 425801731) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |