| NPI | 1982891925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL FLEMING Counselor 415-355-7521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |