| NPI | 1356862783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH BRASLOW President 415-742-1247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: CA A83173) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2022-07-21 |