| NPI | 1194182147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUMEN SLAVKOV Owner 805-444-6559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |