| NPI | 1881904050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY HUNT WIGGINS Program Coordinator 909-649-7261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS26590) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |