NPI | 1144690892 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK KENNETH WHALEN Psychologist 650-735-1449 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA PSY25234) |
Enumeration Date | 2015-10-06 |
Last Update Date | 2015-10-06 |