| NPI | 1003249657 |
|---|---|
| Other Name | ADOLESCENT HEALTH WORKING GROUP |
| Entity Type | Organization |
| Authorized Contact | SARAH RODRIGUEZ'G Executive Director 415-236-1166 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2016-12-16 |