NPI | 1760174247 |
---|---|
Entity Type | Organization |
Authorized Contact | ALFREDO PEREZ Office Administrator 408-475-1665 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 106S00000X Behavior Technician |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2023-05-23 |
Last Update Date | 2023-05-23 |