| NPI | 1174405096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY GROSS Director Of Finance 831-462-9404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-07-22 |