| NPI | 1265815492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS C MAPLES Owner 209-406-8497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFC43057) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |