| NPI | 1225418544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK CLARK Consultant 510-981-3203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW11778) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |