| NPI | 1790530822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DOMINIC SCAHILL CEO 510-871-5025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TH0004X Psychologist, Health | |
| 104100000X Social Worker | |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-04-22 |