| NPI | 1518435171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN READ CAMPOS Co Director 805-703-5330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC0700X Psychologist, Clinical | |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2021-09-25 |