| NPI | 1972386779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL ELLIS President 415-867-1419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-08-15 |