| NPI | 1164458402 |
|---|---|
| Other Name | EXCELSIOR HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | THOMAS BOLGER CFO 415-677-2496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA 550000121) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2009-03-03 |