| NPI | 1255178133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE JEAN BARRETT Administrative Services Associate 415-473-6847 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2025-06-04 |