NPI | 1740094523 |
---|---|
Doing Business As | RADICAL ROOTS PSYCHOTHERAPY |
Entity Type | Organization |
Authorized Contact | RUBY WARA-GOSS Licensed Clinical Social Worker 510-327-3201 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2025-02-03 |
Last Update Date | 2025-02-03 |