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555 Cole St San Francisco CA 94117-2800 | |
| (415) 621-2929 | |
| (415) 621-4758 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 555 Cole St, San Francisco, California |
| Authorized Official Name and Position | Douglas Styles (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4156682622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
555 Cole St San Francisco CA 94117-2800 Ph: (415) 621-2929 | 555 Cole St San Francisco CA 94117-2800 Ph: (415) 621-2929 |
| NPI Number | 1750441721 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 09/16/2022 |
| Certification Date | 09/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750441721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 00623 (California) | Primary |
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