Provider First Line Business Practice Location Address:
1001 POTRERO
Provider Second Line Business Practice Location Address:
DEPT. OF PSYCH, 7TH FLOOR, ED CASE MANAGEMENT
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-233-3302
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/29/2014