| NPI | 1477923209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN E GREEN Consultant 415-652-8214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 29891) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |