| NPI | 1346566288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILMA CALDER Billing Mgr 707-246-9585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA A82909) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2013-09-06 |