| NPI | 1457848335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH FARRELL Owner 707-478-6120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009684) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |