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 |