| NPI | 1386816064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY S BERCUN Owner 415-346-8640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |