| NPI | 1588016984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN VILLARANTE Executive Director 415-748-5421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA C3770323) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-07-08 |