| NPI | 1114694312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MAHELIA ALLER-STAMPS CEO 916-778-6035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2021-08-25 |