| NPI | 1710107784 |
|---|---|
| Doing Business As | SOUTHEAST CHILD/FAMILY THERAPY CENTER |
| Entity Type | Organization |
| Authorized Contact | CHONA G. BAUTISTA-PERALTA Compliance Officer 415-255-3706 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2019-05-22 |