| NPI | 1770184251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANTE DEMITRIUS DIXSON President/CEO 415-336-7707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |