| NPI | 1427105279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE REIN COO 415-476-4003 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 220000377) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA 220000377) |
| 103T00000X Psychologist (Licence: CA 220000377) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 220000377) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2008-07-09 |