| NPI | 1013337161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER MARK BERNSTEIN President 707-781-3335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: CA MFT7549) |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy (Licence: CA 633153) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |