NPI | 1396021150 |
---|---|
Entity Type | Organization |
Authorized Contact | NEISHA BECTON CEO 925-520-0005 |
Organization Subpart ? | No |
Primary Taxonomy | 103TP0016X Psychologist Prescribing (Medical) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
103TC0700X Psychologist Clinical | |
Enumeration Date | 2011-10-25 |
Last Update Date | 2011-10-25 |