| NPI | 1043704331 |
|---|---|
| Former Legal Business Name | CENTRAL COUNSELING SERVICES |
| Entity Type | Organization |
| Authorized Contact | SHERALYN L. SHOCKEY-POPE Chief Operation Officer 951-778-0230 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 26872) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 37209) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2020-02-05 |