| NPI | 1629428982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADYS R VILLA Proprietor 559-307-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09924043) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2023-09-06 |