| NPI | 1275180077 |
|---|---|
| Doing Business As | UNITED STAES |
| Entity Type | Organization |
| Authorized Contact | TATIANA JOHNSON President 831-419-1117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |