| NPI | 1457547317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM PATTERSON Licensed Clinical Services Manager 805-485-6114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2013-05-09 |