NPI | 1407322050 |
---|---|
Entity Type | Organization |
Authorized Contact | THERESA VOLPE-JOHNSTONE Clinical Director 925-484-0074 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
103TP2701X Psychologist, Group Psychotherapy | |
261QD1600X Clinic/Center, Developmental Disabilities | |
Enumeration Date | 2018-10-22 |
Last Update Date | 2018-10-22 |