| NPI | 1942560388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIC JENSEN Psychologist 415-637-6681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY24535) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2012-05-18 |