| NPI | 1558954545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C HOAGLIN Owner 415-735-6453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology Psychosomatic Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2023-07-30 |