| NPI | 1104246198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M DAISY ILANO Medical Director 805-781-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-04-29 |