| NPI | 1164946133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LAUREL SCOTT Clinical Services Director 805-260-4676 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 28718) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2022-07-21 |