NPI | 1568806438 |
---|---|
Entity Type | Organization |
Authorized Contact | RANI DEVADASAN Program Manager 415-750-5125 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: 1023170362) |
Enumeration Date | 2013-04-23 |
Last Update Date | 2013-04-23 |