| NPI | 1447692181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERIE MARIE CHAVEZ Counselor 805-563-1916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 1023195146) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |