| NPI | 1255897757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY D'AMATO Contracts Manager 805-264-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |