| NPI | 1710560545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONID POPOV Authorized Official 510-417-5142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2023-12-28 |