| Department Of Psychiatry, Child And Adolescent Services | |
|
1001 Potrero Ave, Building 5, Suite 6b San Francisco CA 94110 | |
| (415) 206-4444 | |
| (415) 206-3142 |
| Full Name | Department Of Psychiatry, Child And Adolescent Services |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1001 Potrero Ave, Building 5, Suite 6b, San Francisco, California |
| Authorized Official Name and Position | Grace Fernandez (DIRECTOR, CPG BUSINESS SERVICES) |
| Authorized Official Contact | 4154768969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Department Of Psychiatry, Child And Adolescent Services Po Box 7464 San Francisco CA 94120-7464 Ph: (415) 502-0661 | Department Of Psychiatry, Child And Adolescent Services 1001 Potrero Ave, Building 5, Suite 6b San Francisco CA 94110 Ph: (415) 206-4444 |
| NPI Number | 1265638159 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 07/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265638159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (California) | Primary |
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