| NPI | 1609520386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAI SHIMADA Medical Director 415-505-0812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| 207Q00000X Family Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2022-11-09 |