| NPI | 1205411584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARA MCFADDEN COO 510-468-4426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine | |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-03-17 |