| NPI | 1346827409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA NICOLE WHITAKER Office Manager 510-999-7901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2021-03-25 |