| NPI | 1477024222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE LOUISE HART CEO 805-573-0752 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2018-12-05 |