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1305 Evans Ave San Francisco CA 94124-1705 | |
| (415) 970-7700 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1305 Evans Ave, San Francisco, California |
| Authorized Official Name and Position | Robert Paul Cabaj (DIRECTOR CBHS) |
| Authorized Official Contact | 4152553401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1305 Evans Ave San Francisco CA 94124-1705 Ph: (415) 970-7700 | 1305 Evans Ave San Francisco CA 94124-1705 Ph: (415) 970-7700 |
| NPI Number | 1629298682 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629298682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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