| NPI | 1902159122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PURAN S KHALSA Licensed Psychologist 415-235-9982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: VA 0810004653) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |