| NPI | 1154671121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELENA ROCKWELL Youth Service Specialist Coordinato 805-963-1433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |