| NPI | 1346327517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY BRUNS Medical Director 805-388-8330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-09-05 |