| NPI | 1407075658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH WILLIAM BOSTON Program Cooridinator 831-425-8132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2008-07-01 |