NPI | 1679081335 |
---|---|
Other Name | BHRS ODYSSEY PROGRAM |
Entity Type | Organization |
Authorized Contact | ROSANNA LALLANA Compliance Privacy Security Ofcr 415-473-2531 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2018-01-16 |
Last Update Date | 2022-12-02 |