| NPI | 1508648403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CREDENTIALING DEPARTMENT Office Manager/Business Staff Conta 415-671-2165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-11-08 |