| NPI | 1124730460 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | NEFERTITI K KHEMET GOUDJAYI CEO 916-271-6797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2022-12-19 |