| NPI | 1043890122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA MCWEALTH CEO 559-458-3947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103T00000X Psychologist | |
| 106H00000X Marriage & Family Therapist | |
| 167G00000X Licensed Psychiatric Technician | |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2021-04-12 |