NPI | 1750156576 |
---|---|
Entity Type | Organization |
Authorized Contact | KATRINA TATTENHAM Owner, CEO 510-910-1725 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2023-11-21 |
Last Update Date | 2023-11-21 |