| NPI | 1457975351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISSA ROSE GOODENOUGH Board Member/ Employee 805-602-8751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 172A00000X Driver |
| 103TR0400X Psychologist, Rehabilitation | |
| 101YP2500X Counselor, Professional | |
| 101YM0800X Counselor, Mental Health | |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-06-17 |