| NPI | 1710483383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MIKEL CARREON CEO 650-993-9996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A138528) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-04-03 |