| NPI | 1659740397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETHEL M MOSTREL Marriage Family Therapist 650-799-1375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: CA MFT 27981) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: CA MFT 27981) |
| 283Q00000X Psychiatric Hospital (Licence: CA MFT 27981) | |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |