| NPI | 1760736458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX CAMPBELL President 415-971-1186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-08-4718) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC30244) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |