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 |