| NPI | 1942970330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA CASTANEDA Director Of Cred 866-657-6592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health | |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2025-04-02 |