| NPI | 1740339290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA VERNELL FAIRLEY Program Director 415-864-2364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 5571) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |