| NPI | 1215667910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD A THAMES President 415-504-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2023-11-13 |