NPI | 1639951338 |
---|---|
Entity Type | Organization |
Authorized Contact | AMER SYED RAHEEMULLAH Medical Director/President 510-902-7080 |
Organization Subpart ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2023-10-17 |
Last Update Date | 2024-04-08 |