| NPI | 1255765244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA ANN KIRKPATRICK Health Program Coordinator 415-255-3758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |