Provider First Line Business Practice Location Address:
205 13TH ST
Provider Second Line Business Practice Location Address:
FAMILY SUPPORT SERVIES OF THE BAY AREA SUITE, 3150
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-861-4060
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/20/2007