| NPI | 1376803247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL JURANOVICH Therapist 925-777-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 149761) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-05-24 |