| NPI | 1649037128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANA PRUTTON Marriage And Family Therapist 415-604-3509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QM0801X | |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2024-03-01 |