| NPI | 1083010409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE MARIE DAVIS Dir. Mental Health Services 831-636-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 355201170) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2019-03-21 |