| NPI | 1093014151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PAUL PINGITORE Clinical Psychologist 510-433-7132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA PSY13778) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-07-01 |