Organization
THE BERNSTEIN INSTITUTE FOR TRAUMA TREATMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER MARK BERNSTEIN PHD (PRESIDENT)
(707) 781-3335
Entity
Organization
Contact information
Practice address
501 2ND ST, PETALUMA, CA 94952-5121
(707) 781-3335
(707) 762-8763
Mailing address
501 2ND ST, PETALUMA, CA 94952-5121
(707) 781-3335
(707) 762-8763
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
MFT7549
CA
261QP2000X
Physical Therapy Clinic/Center
633153
CA
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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