| NPI | 1861830218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESTON LANGE Licensed Clinical Social Worker 209-678-8680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 21522) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-06-07 |