| NPI | 1124465398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BIRCH CEO 510-599-9421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 18162) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2019-04-16 |