| NPI | 1770321887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE HARGIS-BULLEN Administrative Director 415-771-8055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-07-15 |