| NPI | 1942408794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEY CAIN Adminisrtative Assistant 415-746-1967 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: CA 380016ACN) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CA 550000486) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2008-04-16 |