| NPI | 1619454675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN HALE Clinical Psychologist 415-548-1304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA PSY30044) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-09-27 |