| NPI | 1790224590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA SERBY President 805-450-5805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA OT6341) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation (Licence: CA OT6341) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |