| NPI | 1467162255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIERRE-CEDRIC BERNARD CROUCH Owner 415-637-0373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2024-02-08 |