| NPI | 1699821041 |
|---|---|
| Doing Business As | LOMPOC CHILDREN'S CLINIC |
| Entity Type | Organization |
| Authorized Contact | TAMMY CASIANO Qcm Coordinator / Designee 805-325-5905 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2021-08-23 |