| NPI | 1457626889 |
|---|---|
| Doing Business As | LYNN L NICKENS, M.S.W., LCSW |
| Entity Type | Organization |
| Authorized Contact | LYNN NICKENS President 760-927-8896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 18158) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-19 |