| 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 |