| NPI | 1548022759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK FAGER Owner 415-813-7407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-01-24 |