NPI | 1023151693 |
---|---|
Doing Business As | PATHWAYS TO WELLNESS MEDICATION CLINIC |
Entity Type | Organization |
Authorized Contact | NEISHA BECTON CEO 925-520-0005 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA C22371) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA C22371) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA C22371) | |
103TF0000X Psychologist, Family (Licence: CA C22371) | |
Enumeration Date | 2007-02-14 |
Last Update Date | 2011-08-02 |