| NPI | 1790402196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINE HERNANDEZ CEO 510-456-8143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2022-10-26 |