| NPI | 1659880946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH DUELL-STEPHENS Clinical Director 916-408-6618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT97103) |
| Additional Taxonomies | 104100000X Social Worker |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2022-07-21 |