| NPI | 1770610594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY GOTTLIEB Clinical Director 805-963-1433 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 420022AN) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 420022AN) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2021-08-12 |