NPI | 1578711719 |
---|---|
Former Legal Business Name | GOOD SHEPHERD PSYCHIATRIC CONSULTANT, INC |
Entity Type | Organization |
Authorized Contact | AMIR SHAHZAD Office Manager 916-974-9542 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL A11138) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2008-08-29 |
Last Update Date | 2023-08-24 |