| NPI | 1164839981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN WILSON Grants & Contracts Manager 415-551-0493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA IMF79243) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |