| NPI | 1871256610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE LOUISE HARRISON Clinical Director 415-963-3549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2021-10-19 |