| NPI | 1639892052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HASKELL President 650-863-4774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-09-21 |