| NPI | 1548669286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD L DELALOZA Director 844-724-7365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS21415) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |