| NPI | 1811072796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT MADAUS CEO 415-681-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2011-12-21 |