NPI | 1205202611 |
---|---|
Entity Type | Organization |
Authorized Contact | AUBREY PIERRE KEYS Executive Director 916-640-9750 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 8644) |
Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: CA IMF 66003) |
Enumeration Date | 2015-08-19 |
Last Update Date | 2015-08-19 |