| NPI | 1568998342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STAN TATKIN Owner 805-300-3074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA MFT 29303) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |