| NPI | 1184702128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI HINKENS Mental Health Practitioner Intern 805-737-6663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-06-13 |