NPI | 1063937647 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID LAUREL SCOTT Clinical Services Director 805-260-4676 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 28718) |
Enumeration Date | 2017-08-04 |
Last Update Date | 2022-07-21 |