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