| NPI | 1922545912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDE VARGAS Licensed Clinical Social Worker 209-497-2853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |