NPI | 1487857405 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMMY CASIANO Qcm COO Rdinator / Designee 805-325-5905 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2007-06-07 |
Last Update Date | 2023-12-27 |