| NPI | 1871154641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN SHORE President 805-494-1484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |