| NPI | 1568703288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAVIN WESTBERG Director Of Operations 925-287-1256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2013-03-05 |