| NPI | 1689938458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET HITCHCOCK Clinical Supervisor 415-424-2543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA D6347788) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-06-27 |