| NPI | 1730940297 |
|---|---|
| Doing Business As | ILLUMINATED MIND THERAPY CENTER |
| Doing Business As | EAST BAY CENTER FOR TEEN AND FAMILY THERAPY |
| Entity Type | Organization |
| Authorized Contact | ANDREA NISHIMI Co Founder 925-289-8025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-05-31 |