| NPI | 1962899419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MERRITT Quality Assurance Administrator 805-643-1446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2022-08-09 |