| NPI | 1316305220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON HORNE Clinical Coordinator 831-809-8176 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 270003BN) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2019-05-01 |