| NPI | 1235261744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EZEQUIEL VEGA COO 831-755-4510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2020-08-22 |