| NPI | 1962008094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE P LIMON Medical Billing Manager 805-781-4021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2020-12-04 |