| NPI | 1396122438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELA K KOENIG Owner 415-255-2551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA 83677) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2015-04-28 |