| NPI | 1811252570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOELLEN NM STEVENS CEO 805-487-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA CATC 040927) |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW29504) | |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY 12171) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFT 49027) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFT 42770) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFT 39699) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFT 48335) | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2022-06-15 |