| NPI | 1942706601 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BETH BARMACK President 415-626-3141  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Additional Taxonomies | 103TC0700X Psychologist, Clinical | 
| Enumeration Date | 2018-04-02 | 
| Last Update Date | 2019-01-05 |