| NPI | 1053965426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE TILL-FEINBERG CEO 805-356-3372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2022-01-14 |