NPI | 1295193670 |
---|---|
Doing Business As | SF BAY PSYCHIATRY |
Entity Type | Organization |
Authorized Contact | KORY STOTESBERY President 925-322-0418 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: CA 20A12798) |
Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health (Licence: CA 20A12798) |
Enumeration Date | 2016-02-01 |
Last Update Date | 2016-02-01 |