| NPI | 1790038560 |
|---|---|
| Other Name | CPI CHILDREN'S COUNSELING CENTER-NEW DIRECTIONS CAMPUS |
| Entity Type | Organization |
| Authorized Contact | CAROLINA MARIPOSA Clinic Director 707-585-6108 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC45574) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY22027) |
| 104100000X Social Worker (Licence: CA LSC22463) | |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2013-01-23 |