NPI | 1659582070 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURIE LOBER Clinical Director 510-655-7880 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 140000152) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2013-04-19 |