| NPI | 1063769925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA CROSS Manager Of Internships And Clinical 805-981-4221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2012-08-10 |