| NPI | 1851824882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH THOMPSON Marriage Family Therapist 209-565-0756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 40957) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |