| NPI | 1154759157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT P BALDERSON Director 415-255-6181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA MFC34280) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |