| 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 |