| The Healthy Teen Project, Inc. | |
|
1400 Tennessee St Unit 3 San Francisco CA 94107-3421 | |
| (415) 797-1414 | |
| (415) 797-1413 |
| Full Name | The Healthy Teen Project, Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1400 Tennessee St Unit 3, San Francisco, California |
| Authorized Official Name and Position | Tom Brehme (COO) |
| Authorized Official Contact | 6509008464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Healthy Teen Project, Inc. 919 Fremont Ave Ste 100 Los Altos CA 94024-6047 Ph: (650) 941-2300 | The Healthy Teen Project, Inc. 1400 Tennessee St Unit 3 San Francisco CA 94107-3421 Ph: (415) 797-1414 |
| NPI Number | 1760031314 |
|---|---|
| Provider Enumeration Date | 09/06/2019 |
| Last Update Date | 12/12/2019 |
| Certification Date | 12/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760031314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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