Provider First Line Business Practice Location Address:
450 STANYAN ST
Provider Second Line Business Practice Location Address:
MCAULEY ADOLESCENT DAY TREATMENT 3N
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94117-1079
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-750-5637
Provider Business Practice Location Address Fax Number:
415-750-4912
Provider Enumeration Date:
02/05/2007