| NPI | 1861995276 |
|---|---|
| Doing Business As | QUAIL LAKES COMMUNITY COUNSELING |
| Entity Type | Organization |
| Authorized Contact | WILLIAM ROGERS Office Manager 209-954-1311 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2020-09-10 |