| NPI | 1679126221 |
|---|---|
| Former Legal Business Name | SAGE INSTITUTE FOR PSYCHEDELIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | IRINA ALEXANDER Clinical Director 510-929-4286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2024-01-25 |