| NPI | 1710162375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHAN OUELLETTE Pss Reach Program Coordinator 415-514-3229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA ASW 22635) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-02 |