| NPI | 1174370241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GODFREY LEIGH MACFARLAND Executive Director 510-450-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |