| NPI | 1740689694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJAGOPAL KEERTHY SUNDER Owner 510-685-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: CA A94223) |
| Enumeration Date | 2014-08-16 |
| Last Update Date | 2016-02-17 |