| NPI | 1699614685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BOLTON Authorized Official 805-730-0370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2026-03-26 |
| Last Update Date | 2026-06-11 |