| NPI | 1770977308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEWEL THOMPSON Owner 951-202-2134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW16424) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-04-14 |