| NPI | 1659995058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN MCKIBBEN GEIGER CEO 510-501-5260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management |
| 207R00000X Internal Medicine | |
| 207RA0000X Internal Medicine, Adolescent Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |