| NPI | 1639373947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WALTON Division Chief 805-689-8436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2008-06-13 |