| NPI | 1174875512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAITALI MUKHERJEE Executive Director 415-476-1683 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2019-06-11 |