| NPI | 1780995258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN J BERENSON Executive Clinical Director 415-459-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA x) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2022-07-21 |