| NPI | 1316298755 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL V. CUBIE Licensed Psychologist 510-258-1163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA PSY20021) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2012-09-25 |