| NPI | 1013096569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY THEODORE FREELAND Physician 510-521-4323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G21044) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2014-06-24 |