| NPI | 1225544638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLERY VILLACREZ Contracts Manager 415-229-0500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2018-06-18 |