| San Francisco Connections Overflow | |
|
1099 Sunnydale Ave San Francisco CA 94134-2762 | |
| (510) 654-4004 | |
| Not Available |
| Full Name | San Francisco Connections Overflow |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1099 Sunnydale Ave, San Francisco, California |
| Authorized Official Name and Position | Katherine West (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 5105200935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Francisco Connections Overflow 15942 Foothill Blvd San Leandro CA 94578-2102 Ph: (510) 317-1444 | San Francisco Connections Overflow 1099 Sunnydale Ave San Francisco CA 94134-2762 Ph: (510) 654-4004 |
| NPI Number | 1417391335 |
|---|---|
| Provider Enumeration Date | 04/22/2013 |
| Last Update Date | 04/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417391335 | NPI | - | NPPES |
| 0015 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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