| NPI | 1750798211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEERTHY SUNDER Consulting Medical Director/ Psychi 510-685-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |