| NPI | 1134994353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLEY DANIELLE SOLTESZ Senior Manager, Revenue Cycle 650-761-6879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2023-11-17 |