| NPI | 1669654166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY CASIANO Qcm Designee/COO Rdinator 805-325-5905 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2021-08-23 |