| NPI | 1245251248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER EDWARD NEWSOM Owner 650-462-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G065766) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |