| NPI | 1720704984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIRUPAMA TAMIRISA Owner Of Entity 916-662-3823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2022-10-18 |