| NPI | 1215140843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRY MARGUSOV Administrator 415-387-2750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: CA 070000599) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |