| NPI | 1912661893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN JIMENEZ Executive Assistant 209-578-6320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker Clinical | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2021-10-26 |