| NPI | 1144581356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEKSANDR GRINBERG Owner 415-286-6530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA A56467) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2012-06-04 |