| NPI | 1619740859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUYEON SHIN CEO 805-886-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2024-05-03 |