| NPI | 1447679576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN LEE FRUGE' Chief Executive Officer 510-759-4405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY18275) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |