| NPI | 1164024899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANINE GUNDEL Owner 415-717-7009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2020-11-09 |