| NPI | 1104256411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MARC HAMEL Director 415-472-3275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA LCS15194) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |