| NPI | 1548096977 |
|---|---|
| Doing Business As | DIVISADERO HEALTH SERVICES CALIFORNIA, P.C. |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY NEWELL GREEN Owner 415-496-5578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 172V00000X Community Health Worker | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 175T00000X Peer Specialist | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2025-09-10 |