| NPI | 1750823662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WILDE Social Worker/Counselor 858-598-3713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WA LW60543263) |
| Additional Taxonomies | 251B00000X Case Management (Licence: WA LW60543263) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-10 |