| Adult & Youth Mh Services | |
|
1115 Mission Rd South San Francisco CA 94080-1302 | |
| (650) 243-4850 | |
| (650) 243-4851 |
| Full Name | Adult & Youth Mh Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1115 Mission Rd, South San Francisco, California |
| Authorized Official Name and Position | Vitka Eisen (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4157621558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult & Youth Mh Services 1563 Mission St, 4th Floor San Francisco CA 94103-2543 Ph: (415) 762-3700 | Adult & Youth Mh Services 1115 Mission Rd South San Francisco CA 94080-1302 Ph: (650) 243-4850 |
| NPI Number | 1134250913 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 10/28/2021 |
| Certification Date | 10/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134250913 | NPI | - | NPPES |
| 41CS | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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