| 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 |