| 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 |