| NPI | 1154285393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN HITTLE Agent 805-248-8652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 251B00000X Case Management | |
| Enumeration Date | 2025-12-11 |
| Last Update Date | 2026-01-03 |