| NPI | 1962245415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BALYOZIAN CEO 415-658-5849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-06-27 |