| NPI | 1447082102 |
|---|---|
| Former Legal Business Name | CONFIDENCE CLUB |
| Entity Type | Organization |
| Authorized Contact | KATYA EKMAN CEO 510-255-5141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |