NPI | 1336440353 |
---|---|
Doing Business As | PATHWAYS TO WELLNESS, MEDICATION CLINIC |
Entity Type | Organization |
Authorized Contact | NEISHA BECTON CEO 925-520-0005 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA C22371) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA C22371) |
103TF0000X Psychologist Family (Licence: CA C22371) | |
103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: CA C22371) | |
106H00000X Marriage & Family Therapist (Licence: CA C22371) | |
Enumeration Date | 2010-11-08 |
Last Update Date | 2010-11-08 |