| NPI | 1801930920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA RANDOLPH Director Of Administration 831-454-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2019-10-23 |