| NPI | 1518293927 |
|---|---|
| Doing Business As | TIDES CENTER |
| Entity Type | Organization |
| Authorized Contact | GENA CASTRO RODRIGUEZ Project Director 415-753-7670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-11-30 |