| NPI | 1114565900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE DIAZ Quality Care Management 805-934-6344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |