| NPI | 1770869901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELEINE LANSKY President 415-820-3242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA A70420) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA A70420) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA A070420) | |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2017-02-28 |