| NPI | 1740399559 |
|---|---|
| Doing Business As | MISSION MENTAL HEALTH TEAM I OUTPATIENT SERVICES |
| Entity Type | Organization |
| Authorized Contact | CHONA G BAUTISTA-PERALTA Compliance Officer 415-255-3443 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2013-08-08 |