| NPI | 1619014081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LUKAS Executive Director 415-456-7724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-19 |