| NPI | 1497059158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MARIE WELSH CEO 415-292-6350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA g59902) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |