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 |