| NPI | 1841058534 |
|---|---|
| Doing Business As | BOTAITIS THERAPY GROUP |
| Entity Type | Organization |
| Authorized Contact | NICOLE A BOTAITIS President & CEO 805-636-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2024-03-08 |