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870 Market St Suite 1277 San Francisco CA 94102-3002 | |
| (415) 397-6622 | |
| (415) 397-6666 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 870 Market St, San Francisco, California |
| Authorized Official Name and Position | Mary-perry Miller (PRESIDENT) |
| Authorized Official Contact | 7079969398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
19230 Sonoma Hwy Suite 200 Sonoma CA 95476-5474 Ph: (707) 996-9398 | 870 Market St Suite 1277 San Francisco CA 94102-3002 Ph: (415) 397-6622 |
| NPI Number | 1518146695 |
|---|---|
| Provider Enumeration Date | 10/25/2007 |
| Last Update Date | 10/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518146695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PSY16095 (California) | Primary |
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