Black Granola
NPI #1487383188 in Menlo Park, California
Provider Information
- NPI Number
- 1487383188
- Entity Type
- Organization
- Organization Name
- Black Granola
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jun 8, 2022
- Last Updated
- Jun 8, 2022
Practice Location
- Address
- 1955 MENALTO AVE
- City
- Menlo Park
- State
- California
- ZIP Code
- 94025-2834
- Phone
- (650) 422-0340
Authorized Official
- Name
- NEHEZI ROBERTS, LCSW
- Title
- FOUNDER
- Phone
- (650) 422-0340
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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