| NPI | 1659482859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN RAE FONTAINE Licenced Clinical Social Worker Ii 714-480-6660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 21177) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |