| NPI | 1225572415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY L SUMMERS Qcm COO Rdinator 805-681-5450 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |