| NPI | 1104042639 |
|---|---|
| Other Name | FEE FOR SERVICE LCSW |
| Entity Type | Organization |
| Authorized Contact | GAIL ZWIER Behavioral Health Director 760-873-6533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |