| NPI | 1497046742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATANYA TOLAN Clinical Director 800-823-1772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 27163) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2011-04-20 |