| NPI | 1114265543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY R FARNER Co Owner 415-971-2709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC006016) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-01-18 |