Provider Demographics
NPI:1295927192
Name:DRIVER PERFORMANCE INSTITUTES, INC.
Entity type:Organization
Organization Name:DRIVER PERFORMANCE INSTITUTES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:NILSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-905-5555
Mailing Address - Street 1:350 TOWNSEND ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-1697
Mailing Address - Country:US
Mailing Address - Phone:415-905-5555
Mailing Address - Fax:
Practice Address - Street 1:350 TOWNSEND ST
Practice Address - Street 2:SUITE 205
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-1697
Practice Address - Country:US
Practice Address - Phone:415-905-5555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-14
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health