| NPI | 1386121846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENI AMBROSE President 805-679-1921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 20181568363) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2019-06-26 |