| NPI | 1710607031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOBIN JOSHUA HAAS Owner 510-908-0980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 273R00000X Psychiatric Unit |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-09-02 |