| NPI | 1588083992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE MELVIN WERMUTH President 408-559-3403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA G25581) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G25581) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2020-06-16 |