| NPI | 1043731987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA MICHELLE FLORES Director Of Treatment 805-266-3747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2024-10-04 |