| 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 |