| NPI | 1063720902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD CRAIG GOODMAN Owner 661-932-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 22798) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-14 |