| NPI | 1730301755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NISHANGA E. BLISS Clinical Director 415-252-8711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA 7355) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2008-08-11 |