| NPI | 1689302937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN BOWEN COO 415-497-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2022-08-12 |