| NPI | 1346372018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYLENE ROBINSON Clinic Supervisor 760-961-6713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW 17034) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |