| NPI | 1255661773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELANNE BAKER Clinical Training Director 415-626-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA 101Y00000X) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |