| NPI | 1134246135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA ANN JENSEN Mft Inte RN 510-649-7551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFT INTERN #43734) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |