| NPI | 1639272008 |
|---|---|
| Doing Business As | SOUTHEAST MISSION GERIATRIC MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | CHONA G BAUTISTA-PERALTA Compliance Officer 415-255-3443 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2013-08-08 |