| NPI | 1871966093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAN B STOVALL Psychotherapist 831-915-3102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 50884) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |