| NPI | 1134593833 |
|---|---|
| Doing Business As | PRIVATE PRACTICE |
| Entity Type | Organization |
| Authorized Contact | HEATHER NONE CAMPBELL Adminastration 805-445-7800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA mfc29100) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA mfc2900) |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: CA mfc29100) | |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |