| NPI | 1376094540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALIA MIREYA RUIZ Executive Officer/Clinical Director 805-332-3260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA MFT 81281) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2017-03-29 |