| NPI | 1124695788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW BURTON Chief Administrative Officer 415-295-2507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2022-02-11 |