| NPI | 1497954911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELYSE RAE EISENBERG CEO And President 707-575-5355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine (Licence: CA G64542) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2017-04-10 |