| NPI | 1679025472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE SANTIAGO NAVARRO-SIMEON Director Of Clinical Administration 415-861-0828 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 496803654) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2022-10-12 |