NPI | 1003986530 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXANDER DUNWODY BINGHAM Director 415-986-5232 |
Organization Subpart ? | No |
Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: CA 401516) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2020-08-22 |