| NPI | 1770367898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY MARIE ROGERS VP Of Revenue 805-728-9093 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |