| NPI | 1710340302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARRON JONES DAGGETT Owner 408-480-8054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: AZ 47737) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |