NPI | 1538757703 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN WILSON-PARISH Director/Clinical Supervisor 209-740-9943 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-01-04 |
Last Update Date | 2021-01-04 |