| NPI | 1710123112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH I GOTTLIEB President 415-346-2103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: CA G23013) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |