| NPI | 1952127292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALINE BALES Managing Member 925-665-9851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2024-12-03 |