| 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 |