Organization
SIMPLER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN PATRICK SPIVEY (FOUNDER)
(917) 650-8421
Entity
Organization
Contact information
Practice address
766 HARRISON ST, SUITE 103, SAN FRANCISCO, CA 94107-1273
(858) 204-4886
Mailing address
766 HARRISON ST, SUITE 103, SAN FRANCISCO, CA 94107-1273
(858) 204-4886
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
0
CA
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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