| NPI | 1356846083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS W WOODS Director 888-544-5553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-16-21838) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2020-10-07 |