| NPI | 1295092815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VITKA EISEN Chief Executive Officer 415-762-1558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2014-01-17 |