| NPI | 1578391165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK M HEATWOLE Chief Financial Officer And VP 805-845-3046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-07-24 |