NPI | 1336664325 |
---|---|
Entity Type | Organization |
Authorized Contact | LINSEY KAPOOR Chief Executive Officer 209-389-3006 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: CA LMFT101204) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT101204) |
261QM0850X Clinic/Center Adult Mental Health (Licence: CA LMFT101204) | |
Enumeration Date | 2017-08-10 |
Last Update Date | 2017-09-23 |