| NPI | 1689101107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINNY BAHR Owner 415-741-5483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA 2256) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2018-03-17 |