| 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 |