HIAWATHA HARRIS, CORPORATION

ANTIOCH, CA
NPI1396021150
Doing Business AsPATHWAYS TO WELLNESS, MEDICATION CLINIC
Entity TypeOrganization
Authorized ContactNEISHA BECTON
CEO
925-520-0005
Organization Subpart ?No
Primary Taxonomy103TP0016X Psychologist, Prescribing (Medical)
Additional Taxonomies101YM0800X Counselor, Mental Health
103TC0700X Psychologist, Clinical
Enumeration Date2011-10-25
Last Update Date2011-10-25
Business Address
HIAWATHA HARRIS, CORPORATION
509 W 10TH ST
ANTIOCH, CA 94509-1653
Phone number: 925-706-1510
Mailing Address
HIAWATHA HARRIS, CORPORATION
5674 STONERIDGE DR STE 207
PLEASANTON, CA 94588-8592
Phone number: 925-520-0005