| NPI | 1962268466 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DEVAL AJIT SHAH Owner 650-714-9820 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | 
| Enumeration Date | 2024-02-23 | 
| Last Update Date | 2024-02-23 |