Provider First Line Business Practice Location Address:
LANGLEY PORTER PSYCHIATRIC
Provider Second Line Business Practice Location Address:
401 PARNASSUS AVE - 0984
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94143-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-476-7451
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/23/2010