NPI | 1346790524 |
---|---|
Entity Type | Organization |
Authorized Contact | JERALEEN M PETERSON Owner 909-291-9349 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS28561) |
Enumeration Date | 2016-10-11 |
Last Update Date | 2016-10-11 |