| NPI | 1528681830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DICKSON Office Manager 916-276-4366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2021-06-04 |