NPI | 1821754151 |
---|---|
Doing Business As | DIA |
Entity Type | Organization |
Authorized Contact | ISH PRASAD BHALLA Director 415-944-9685 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2021-11-10 |
Last Update Date | 2021-11-10 |