| NPI | 1255497814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAOMI HARTWIG Business Manager 510-841-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 140000012) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 140000012) |
| 106H00000X Marriage & Family Therapist (Licence: CA 140000012) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2013-01-30 |