| NPI | 1023760865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENISHA CAPRON CEO 510-692-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2024-12-16 |