| NPI | 1104615137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATHILA LAMBINO Dir. Licensing & Certification 415-912-0605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-05-05 |