| NPI | 1942418884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANA R BLADES CFO 415-750-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: CA 070000556) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: CA 220000367) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2022-06-27 |