| NPI | 1740844182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANTE DEMITRIUS DIXSON President 415-336-7707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-04-30 |