| NPI | 1356733257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER N SHOLLEY Psychotherapist 415-820-3969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFCC# 53511) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |