NPI | 1689402653 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMANTHA PAIGE HOUSTON-CROOK Marriage And Family Therapist 209-541-5154 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-07-22 |
Last Update Date | 2024-07-22 |