| NPI | 1336665074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE AHN President 510-788-0582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A121280) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |