| NPI | 1386261436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARA NATASHA BENEFIELD Sole Proprietor 415-299-9942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-07-05 |
| Last Update Date | 2020-07-06 |