| NPI | 1417526716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAKASHI NAKAMURA Owner 415-992-6155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 101Y00000X Counselor | |
| 103T00000X Psychologist | |
| 103TC1900X Psychologist Counseling | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TF0000X Psychologist Family | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 1041S0200X Social Worker School | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2023-11-07 |