| NPI | 1639201676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EZEQUIEL VEGA COO 831-755-4510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2008-07-24 |