| Epa Youth Program | |
|
2396 University Avenue East Palo Alto CA 94303 | |
| (650) 273-4789 | |
| (650) 638-1602 |
| Full Name | Epa Youth Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2396 University Avenue, East Palo Alto, California |
| Authorized Official Name and Position | Vitka Eisen (CEO) |
| Authorized Official Contact | 4157623700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Epa Youth Program 1735 Mission St San Francisco CA 94103-2417 Ph: (415) 762-3700 | Epa Youth Program 2396 University Avenue East Palo Alto CA 94303 Ph: (650) 273-4789 |
| NPI Number | 1528514759 |
|---|---|
| Provider Enumeration Date | 08/28/2016 |
| Last Update Date | 08/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528514759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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