| NPI | 1184785834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEELA VIRASSAMMY Business Manager 925-944-9711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2023-09-27 |