Organization
LIVE LEVELED FAMILY THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOREL GRANDE (PRESIDENT)
(831) 229-6100
Entity
Organization
Contact information
Practice address
809 QUARRY RD APT B, SAN FRANCISCO, CA 94129-1150
(831) 229-6100
Mailing address
809 QUARRY RD APT B, SAN FRANCISCO, CA 94129-1150
(831) 229-6100
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
11/09/2019
Last updated
11/09/2019
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