| NPI | 1447339403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN WILSON Grants & Contracts Manager 415-551-0493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2013-11-19 |