| NPI | 1780604108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLA JACKSON AO 559-334-7954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2025-11-24 |