NPI | 1720602931 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANEE MARZETTEE BROWN Owner 951-324-4117 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor Mental Health | |
104100000X Social Worker | |
Enumeration Date | 2020-06-03 |
Last Update Date | 2020-06-03 |