| NPI | 1932582962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA BORO Licensed Marriage Family Therapist 415-789-7657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA MFC41722) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: CA MFC41722) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-07-08 |