| NPI | 1881927309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAELANNE BAKER Clinic Director 415-626-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: 10100000) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-09-16 |