| NPI | 1750806865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT NORMAN KO Owner 707-800-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA G49179) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2017-08-09 |