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 |