| NPI | 1104315407 |
|---|---|
| Other Name | HOUSE ON MOUNTAIN DR. |
| Entity Type | Organization |
| Authorized Contact | JENNIFER NEWBOLD Vice President/Director 805-963-1086 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |