| NPI | 1891206264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA MCFADDEN Director, Student Health Center 805-678-5832 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) |
| Additional Taxonomies | 261QS1000X Clinic/Center Student Health |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2021-01-22 |