| NPI | 1568657997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE GARRITY Supervisor 805-681-5220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |