| NPI | 1174765630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN VAN WIE Director 916-786-3740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LB009283) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2009-03-30 |