| NPI | 1629158431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET KINAHAN Clinical Services Office Manager 415-507-4213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2019-06-07 |