| NPI | 1598999641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWANA RENE' LOFTON Clinical Psychologist 415-652-2126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2009-05-04 |