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 |