| NPI | 1962093203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE MALDONADO Owner 510-283-7842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2022-11-21 |