| NPI | 1336966472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER J CARTER Executive Director 415-457-4554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2024-09-20 |
| Last Update Date | 2024-09-20 |