| NPI | 1376722405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANNIE ADELMAN HEANEY Nurse Manager 415-657-1747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: CA 219747) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |