| NPI | 1215696349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDO BIMBELA CEO/President 805-626-0325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist Mental Retardation & Developmental Disabilities |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2021-12-16 |