| NPI | 1154729762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI RUBLE Director 415-520-5567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFC51082) |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2014-12-12 |