| NPI | 1598562514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRICK JACOREY LEE PAYNE Clinical Therapist 510-944-8759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-02-26 |