| NPI | 1952976490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KEY VP,Payor Contracting & Development 805-279-2893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2024-09-26 |