| NPI | 1760516793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA L TORTORELLI Project Manager 510-872-2116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2022-07-28 |