| NPI | 1407214133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISE MARIE HOLLOWAY Therapist 415-233-0079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 33720) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |