| NPI | 1497121297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY EDWIN KLIPPENES Director 510-646-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ms17907) |
| Enumeration Date | 2015-08-15 |
| Last Update Date | 2015-08-15 |