| NPI | 1588411888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA LYNN BELOBRAIDIC KURU Director/President 510-859-8082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-09-04 |