| NPI | 1477132496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON J. GREENE Director/CEO 805-225-4740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2021-05-04 |