| NPI | 1861134785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAIDER SHAHID Medical Director 805-439-6575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2026-02-04 |