| NPI | 1174729065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE FERNANDEZ Director, Cpg Business Services 415-206-8969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2018-05-18 |