| NPI | 1790303089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA DAWN OWEN Licensed Clinical Social Worker 661-678-3250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |