| NPI | 1003656844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE ODONNELL Director, Qa And Compliance 415-989-1017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 133V00000X Dietitian, Registered | |
| 171400000X Health & Wellness Coach | |
| 207Q00000X Family Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-07-21 |