| NPI | 1376166322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE MARIE RUGG Psychiatric Nurse Practitioner 415-597-8000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2020-05-26 |