| NPI | 1487376398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HASKELL Secretary 650-863-4774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2022-09-16 |