| NPI | 1508416389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS P YOUNG Owner 415-755-8952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice |
| 163WG0600X Registered Nurse, Gerontology | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2021-03-17 |