| NPI | 1528250461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY NILSEN Program Director 415-905-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 3800201100) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2008-06-30 |