| NPI | 1790594786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KEITH SUTTON Director 415-409-9189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TF0000X Psychologist, Family |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2025-01-03 |
| Last Update Date | 2025-01-03 |