| NPI | 1225412539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN TOMUTSA Licensed Professional Counselor 510-375-7802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 66931) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12608) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |