| NPI | 1275662975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH EDWARD HOLIFIELD Clinical Director 805-547-1650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY 19617) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |