| NPI | 1003790775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN BELYAEV Owner 415-723-5655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-19 |