| NPI | 1508429804 |
|---|---|
| Doing Business As | FOUNDRY CLINICAL GROUP NORTHERN CALIFORNIA |
| Entity Type | Organization |
| Authorized Contact | JENNER BISHOP President/Clinical Director 510-463-4051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-04-22 |