| NPI | 1225656580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESTINY ROBBINS Founder/Member 916-236-9409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 106H00000X Marriage & Family Therapist | |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |