| NPI | 1841071255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIA LEA BLOOM Owner Executive Director 831-234-2010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-10-11 |