| NPI | 1881451367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA A MCGOWAN Licensed Clinical Social Worker 209-507-2547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2024-03-01 |