NPI | 1700587573 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER LYNN SU'APA'IA Lmft 805-428-3830 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-03-16 |
Last Update Date | 2023-03-16 |