| NPI | 1801474598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS ESGUERRA Owner 805-464-1265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 251S00000X Community/Behavioral Health | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QM2500X Clinic/Center Medical Specialty | |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2024-10-16 |