| NPI | 1467509323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CHARLES LARSEN Director 415-252-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA FNP11266) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |