NPI | 1801605035 |
---|---|
Doing Business As | LIMINAL MEDICINE |
Entity Type | Organization |
Authorized Contact | ANNE TAMAR-MATTIS Chief Adminsitrative Officer 707-861-0807 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QM2500X Clinic/Center, Medical Specialty | |
Enumeration Date | 2025-01-02 |
Last Update Date | 2025-01-02 |