| NPI | 1508913815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANA RAE HUDDLESTON Mental Health Therapist Iv 805-474-2028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA MFC 40675) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |