| NPI | 1710238662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BIANCA Director 831-423-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 18800) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |