| NPI | 1144055302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CRISTMAN COO 415-385-1902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) | |
| 207RA0401X Internal Medicine Addiction Medicine | |
| 2083A0300X Preventive Medicine Addiction Medicine | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2025-04-24 |