| NPI | 1588041610 |
|---|---|
| Doing Business As | QUAIL LAKES COMMUNITY COUNSELING |
| Entity Type | Organization |
| Authorized Contact | ADAM DIESTLER Lmft 209-954-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA LMFT50618) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |