| NPI | 1811492853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN DONALDSON Owner/Authorized 408-364-6160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-03-29 |