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 |