| NPI | 1245604909 |
|---|---|
| Former Legal Business Name | PAUL MARGOLIS, LMFT, R-DMT |
| Entity Type | Organization |
| Authorized Contact | PAUL E MARGOLIS Sole Proprietor 707-322-1929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA LMFT34259) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |