| NPI | 1457010126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONID POPOV Authorized Official 510-417-5142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2023-12-28 |