| Mission Mental Health Team Ii Outpatient Services | |
|
3850 17th St. Suite 204 San Francisco CA 94114-2031 | |
| (415) 934-7700 | |
| (415) 558-8221 |
| Full Name | Mission Mental Health Team Ii Outpatient Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3850 17th St., San Francisco, California |
| Authorized Official Name and Position | Laurie Beth Lenrow (MENTAL HEALTH MANAGER) |
| Authorized Official Contact | 4159347732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission Mental Health Team Ii Outpatient Services 1380 Howard St 5th Floor San Francisco CA 94103-2638 Ph: (415) 252-3056 | Mission Mental Health Team Ii Outpatient Services 3850 17th St. Suite 204 San Francisco CA 94114-2031 Ph: (415) 934-7700 |
| NPI Number | 1255440970 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 06/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255440970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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