| NPI | 1073860904 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | WILLIAM KYLE TEMPLE Senior Director 415-487-3416  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 380096AN)  | 
| Enumeration Date | 2012-08-09 | 
| Last Update Date | 2024-10-16 |