| NPI | 1013947191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY R COTE Licensed Clinical Social Worker 209-239-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW5358) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-08-22 |