Provider First Line Business Practice Location Address:
1038 POST STREET
Provider Second Line Business Practice Location Address:
COMMUNITY YOUTH CENTER
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-775-2636
Provider Business Practice Location Address Fax Number:
415-775-1345
Provider Enumeration Date:
11/10/2010