| NPI | 1356749279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNA BONETTI Administrative Director 415-929-3001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA 550001484) |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2014-12-09 |