| NPI | 1164171526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SEIBERLICH CEO 805-501-7376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 106H00000X Marriage & Family Therapist | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2022-03-22 |