| NPI | 1306323639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON SIAOTONG Facility Administrator 805-493-5741 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 560040BP) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |