| NPI | 1477232932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH DEROSE President 805-724-6831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 103T00000X Psychologist |
| 251B00000X Case Management | |
| 261Q00000X Clinic/Center | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-07-12 |