| NPI | 1184333643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA LAUREL JENSEN Mental Health Director 805-347-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-11-23 |
| Last Update Date | 2024-06-18 |