| NPI | 1366041709 |
|---|---|
| Former Legal Business Name | GOLDEN GATE MENTAL HEALTH CORP |
| Entity Type | Organization |
| Authorized Contact | DANIELA RUIZ ALVAREZ President 754-208-9566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| 207RA0201X Internal Medicine, Allergy & Immunology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 251S00000X | |
| Enumeration Date | 2020-10-17 |
| Last Update Date | 2023-06-26 |