NPI | 1861382384 |
---|---|
Entity Type | Organization |
Authorized Contact | RSHAFFER E SHAFFER Member 805-657-0097 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-07-07 |
Last Update Date | 2025-07-07 |