Community Justice Center Behavioral Health Services | |
555 Polk Street San Francisco CA 94102-3333 | |
(415) 202-2810 | |
(415) 346-0483 |
Full Name | Community Justice Center Behavioral Health Services |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 555 Polk Street, San Francisco, California |
Authorized Official Name and Position | Chona G. Bautista-peralta (COMPLIANCE OFFICER) |
Authorized Official Contact | 4152553443 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Community Justice Center Behavioral Health Services 1380 Howard Street 4th Floor Room 426 A San Francisco CA 94103-2638 Ph: (415) 255-3706 | Community Justice Center Behavioral Health Services 555 Polk Street San Francisco CA 94102-3333 Ph: (415) 202-2810 |
NPI Number | 1134235559 |
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Provider Enumeration Date | 08/21/2006 |
Last Update Date | 10/15/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134235559 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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