| NPI | 1093498966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN MARGARET CARRIZOSA President 510-612-6306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2023-08-08 |