| NPI | 1942905112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAHRAIN DANIEL MORAN Marriage Family Therapy Intern 415-750-5580 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-04-04 |