| NPI | 1063954741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY LALONDE Counseling Center Director 415-346-6994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2016-11-10 |