| NPI | 1588238497 |
|---|---|
| Former Legal Business Name | LYON-MARTIN HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | JACKSON JAMES MILLER JAFFE CEO 415-901-7108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 251S00000X |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2021-05-14 |