| NPI | 1972325355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE DANDLEY Program Director 805-561-6316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-12-31 |