| NPI | 1568174852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUWELL ASHILI MCCLENDON Clinical Social Worker 760-871-8141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2022-12-19 |