| Sitike Counseling Center | |
|
306 Spruce Ave South San Francisco CA 94080-2741 | |
| (650) 589-9305 | |
| (650) 589-9330 |
| Full Name | Sitike Counseling Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 306 Spruce Ave, South San Francisco, California |
| Authorized Official Name and Position | Joseph A. Wagenhofer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6505899305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sitike Counseling Center 306 Spruce Ave South San Francisco CA 94080-2741 Ph: (650) 589-9305 | Sitike Counseling Center 306 Spruce Ave South San Francisco CA 94080-2741 Ph: (650) 589-9305 |
| NPI Number | 1457646960 |
|---|---|
| Provider Enumeration Date | 06/13/2011 |
| Last Update Date | 09/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457646960 | NPI | - | NPPES |
| 410023AN | Other | CA | STATE DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 410023AN (California) | Primary |
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