| NPI | 1275779621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS M BECKER Owner 559-636-1885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS3387) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS4068) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2012-10-16 |