| NPI | 1386336501 |
|---|---|
| Doing Business As | BANYAN BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | WILLIAM CHAN President 650-667-7193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-07-31 |