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 |