| NPI | 1447720842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA TATE Program Supervisor Bridges To Schoo 530-225-0350 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |