| NPI | 1912305103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA CERDA FERNANDEZ Mft Intern 805-816-8493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA IMF83414) |
| Enumeration Date | 2014-12-20 |
| Last Update Date | 2014-12-20 |