NPI | 1902550445 |
---|---|
Doing Business As | MOTLMD |
Entity Type | Organization |
Authorized Contact | MARYJO BROOKS-MOTL Vice President/Clinical Director 916-836-0036 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2022-02-03 |
Last Update Date | 2022-02-03 |