| NPI | 1154022523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS JACINTO CEO 510-456-8143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-03-13 |