NPI | 1679033260 |
---|---|
Doing Business As | MENTAL HEALTH-NYSTROM |
Entity Type | Organization |
Authorized Contact | DONALD BRUCE BLASKY Chief Program Officer 415-755-2311 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2019-03-21 |
Last Update Date | 2021-08-02 |