NPI | 1063795532 |
---|---|
Doing Business As | SAGE PSYCHOTHERAPY AND TREATMENT PROGRAM |
Entity Type | Organization |
Authorized Contact | ROBIN KIRK Chief Executive Officer 916-614-9200 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 37167) |
Enumeration Date | 2011-09-21 |
Last Update Date | 2011-09-21 |