| NPI | 1104205483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERMEIL KAUR DASS Owner 831-421-2723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2017-08-23 |