| NPI | 1417441734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OPAL LYNN CARLSON Clinical Social Worker/Owner 831-297-0456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC C010794) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |