| NPI | 1720272586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANINE MARIE THILL Program Director 415-785-8652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: CA 200422610009) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2024-12-17 |