| NPI | 1447545033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KEITH SUTTON Director 415-881-7324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY22439) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2011-06-13 |