| NPI | 1891641320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE BRADLEY MCENTEE President 510-329-0998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-03-06 |
| Last Update Date | 2026-03-06 |