In-Home Therapeutic Services of Slo

NPI #1669773313 in Los Osos, California

Provider Information

NPI Number: 1669773313
Entity Type: Organization
Organization Name: In-Home Therapeutic Services of Slo
Primary Specialty: Social Worker
Enumeration Date: Nov 11, 2010
Last Updated: Nov 23, 2010

Practice Location

Address: 1788 DONNA AVE
City: Los Osos
State: California
ZIP Code: 93402-2014
Phone: (805) 441-8843

Authorized Official

Name: ARTHUR WAYNE FREDERICK, LCSW,ACSW,DCSW
Title: EXECUTIVE DIRECTOR
Phone: (805) 441-8843

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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