NPI | 1215350145 |
---|---|
Doing Business As | FIDDLEHEADS |
Entity Type | Organization |
Authorized Contact | DOUGLAS A LERCH Director, Psychotherapist 510-788-0876 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: CA LMFT77728) |
Enumeration Date | 2014-01-29 |
Last Update Date | 2014-01-29 |