NPI | 1255460648 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDSAY S MALCOLM Executive Director 510-430-1115 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY23069) |
Enumeration Date | 2007-03-03 |
Last Update Date | 2022-09-23 |