| NPI | 1174139422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA LYNN DENNIS Insurance Manager 805-579-3537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |