| NPI | 1902967003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L. BRODERICK Director 805-681-5220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: CA PSY15701) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |