| 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 |