NPI | 1447770102 |
---|---|
Entity Type | Organization |
Authorized Contact | JEAN CHANCE FRANCO Director 510-841-1100 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY21262) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT93739) |
Enumeration Date | 2017-06-23 |
Last Update Date | 2017-06-23 |