| NPI | 1447858626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN WHITAKER Licensed Clinical Social Worker 619-800-1734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-10-11 |
| Last Update Date | 2020-10-11 |