NPI | 1538735071 |
---|---|
Entity Type | Organization |
Authorized Contact | MOHAMMAD HANIF Md 916-402-5680 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
106H00000X Marriage & Family Therapist | |
207Q00000X Family Medicine | |
2084A0401X Psychiatry & Neurology, Addiction Medicine | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent | |
Enumeration Date | 2021-06-03 |
Last Update Date | 2024-11-08 |