| NPI | 1699327692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL HIMELSTEIN CEO 510-470-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2021-12-29 |