| NPI | 1760510697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CAROLLA Executive Director 925-932-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA CO720523) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |