| NPI | 1639731375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKI KIDD Director 415-250-0968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2026-05-25 |