| NPI | 1497113781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIELLE GROSSMAN Mft Intern #90359 916-905-2214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 90359) |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |