NPI | 1366916595 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY D'AMATO Contracts Manager 805-264-3388 |
Organization Subpart ? | No |
Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
1041C0700X Social Worker, Clinical | |
163WP0808X Registered Nurse, Psych/Mental Health | |
Enumeration Date | 2019-01-22 |
Last Update Date | 2019-01-22 |