| NPI | 1154849743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LAUREL SCOTT Clinical Services Director 805-260-4676 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2017-09-02 |
| Last Update Date | 2022-07-21 |