| NPI | 1134872971 |
|---|---|
| Doing Business As | PSYCHOSOCIAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | LUIS ALFREDO CORNEJO President 510-288-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-02-01 |