| NPI | 1932863982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUKEMI A KUKU COO 707-673-2515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2025-09-30 |