| NPI | 1003305145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN LETZ CEO 650-924-1174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| 363LG0600X Nurse Practitioner Gerontology | |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |