| NPI | 1255523635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA VELASCO Office Manager 415-255-0371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 3800404100) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-09 |