| NPI | 1790151389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN EDL STEIN Director 415-751-1307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 25863) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |