| NPI | 1164043766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY TAKEMOTO Manager, Agency Srvices 916-741-0565 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |