| NPI | 1003360538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CHRISTIAN VERNON Practicum Student Trainee 415-866-5231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |