| NPI | 1376217307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE KRISTEN EVENDEN Clinical Psychologist 415-793-9643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2021-08-03 |