| NPI | 1922606920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENI RUTH GOCHIN Clinical Director 805-637-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 103TC0700X Psychologist Clinical | |
| 1041C0700X Social Worker Clinical | |
| 133V00000X Dietitian, Registered | |
| 163WG0000X Registered Nurse General Practice | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |