| NPI | 1962054163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA PARKS Office Operations Manager 925-825-1793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2020-04-06 |