| NPI | 1245874163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJITA GUPTA CEO 916-400-0633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103K00000X Behavior Analyst | |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 251S00000X | |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2022-05-23 |