| NPI | 1295059368 |
|---|---|
| Doing Business As | MARTHA'S PLACE |
| Entity Type | Organization |
| Authorized Contact | M. DAISY ILANO Medical Director 805-781-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2013-08-22 |