| |
1546 Page St Apt 1 San Francisco CA 94117-2035 | |
(425) 299-1160 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 1546 Page St Apt 1, San Francisco, California |
Authorized Official Name and Position | Alexander Alvarado (CEO) |
Authorized Official Contact | 4252991160 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1546 Page St Apt 1 San Francisco CA 94117-2035 Ph: (425) 299-1160 | 1546 Page St Apt 1 San Francisco CA 94117-2035 Ph: (425) 299-1160 |
NPI Number | 1679192116 |
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Provider Enumeration Date | 04/14/2020 |
Last Update Date | 11/17/2020 |
Certification Date | 11/17/2020 |
Identifier | Type | State | Issuer |
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1679192116 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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