| NPI | 1508986456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT RUDOLPH Co Dircetor 415-389-9430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA mfc28068) |
| Enumeration Date | 2007-04-01 |
| Last Update Date | 2010-05-26 |