| NPI | 1609151083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL MASANGKAY AGUIRRE 2585 Health Worker 1 415-836-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2012-02-03 |