| NPI | 1952690448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUCK MCCLAIN Supervisor 805-681-4199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 960022) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |