| NPI | 1679219208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA S STOLSIG Executive Director 805-800-8846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2023-08-25 |