| NPI | 1609763341 |
|---|---|
| Doing Business As | MENTAL HEALTH PRACTITIONERS |
| Entity Type | Organization |
| Authorized Contact | REBECCA BLAKESLEY VP 415-968-6515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-23 |