NPI | 1174410294 |
---|---|
Entity Type | Organization |
Authorized Contact | ODETTE G SABIO CEO 510-329-3240 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2025-06-20 |
Last Update Date | 2025-06-20 |