| NPI | 1396217816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON HOLLAND CEO 415-702-8240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| 103TF0200X Psychologist, Forensic | |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2019-09-09 |