NPI | 1356817886 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN CLEAR Medical Director 510-731-7315 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
Enumeration Date | 2018-10-23 |
Last Update Date | 2023-12-14 |