| NPI | 1710127964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN Y KIRBY CEO/President, Director 831-334-0530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G067502) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CA G067502) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: CA G067502) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA G067502) | |
| Enumeration Date | 2009-02-28 |
| Last Update Date | 2009-03-24 |