| NPI | 1154738615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC MITCHELL STULLMAN Licenced Marriage Family Therapist 415-710-8764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 78428) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |