NPI | 1124735758 |
---|---|
Doing Business As | TRIBAL OAK TREE FOSTER FAMILY AGENCY |
Entity Type | Organization |
Authorized Contact | TATIANA MOORE Clinical Services Director 619-701-2546 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2022-11-02 |
Last Update Date | 2022-11-02 |