| NPI | 1497050918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA JEAN GUANILL Mfc 805-981-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA IMF65425) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |