NPI | 1417580044 |
---|---|
Doing Business As | RD THERAPY |
Entity Type | Organization |
Authorized Contact | RYANN LANE DESOUZA CEO 650-720-5263 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2020-02-21 |
Last Update Date | 2020-02-21 |