| NPI | 1851892160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN THOMAS Licensed Psychologist 510-566-2367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: GA PSY003899) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |