| NPI | 1790492999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENA SEPULVEDA Contracts And Grants Manager 805-625-0608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2022-10-28 |