| NPI | 1760811590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA M BATES Partner 619-508-5907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008043) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |