| NPI | 1700653292 |
|---|---|
| Doing Business As | ORDINARY PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | KETETHA CLAUDE GERALDINE OLENGUE President 650-567-6055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2024-09-19 |