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 |