| NPI | 1174782593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NISHANGA BLISS Clinical Director 415-252-8711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA CA 7355) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |