| NPI | 1952750986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY-ANNE WIJTING Owner 831-444-1747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA LPCC2824) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |