| Epiphany Family Treatment Program | |
|
100 Masonic Ave San Francisco CA 94118-4415 | |
| (415) 351-4054 | |
| (415) 292-5531 |
| Full Name | Epiphany Family Treatment Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 Masonic Ave, San Francisco, California |
| Authorized Official Name and Position | Sister Betty Marie Dunkel (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4153514045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Epiphany Family Treatment Program 100 Masonic Ave San Francisco CA 94118-4415 Ph: (415) 351-4054 | Epiphany Family Treatment Program 100 Masonic Ave San Francisco CA 94118-4415 Ph: (415) 351-4054 |
| NPI Number | 1699825521 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 06/01/2023 |
| Certification Date | 06/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699825521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 380081CN (California) | Primary |
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