| NPI | 1295453181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MATTHEW MCDONAGH Owner 415-483-0950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2024-01-02 |