| Youth Justice Institute | |
|
375 Woodside Ave W2 San Francisco CA 94127-1221 | |
| (415) 753-7662 | |
| (415) 753-7662 |
| Full Name | Youth Justice Institute |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 375 Woodside Ave, San Francisco, California |
| Authorized Official Name and Position | Gena Castro Rodriguez (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4157537670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Justice Institute Po Box 31733 San Francisco CA 94131-0733 Ph: (415) 753-7662 | Youth Justice Institute 375 Woodside Ave W2 San Francisco CA 94127-1221 Ph: (415) 753-7662 |
| NPI Number | 1609122423 |
|---|---|
| Provider Enumeration Date | 07/30/2012 |
| Last Update Date | 07/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609122423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MFC 49717 (California) | Primary |
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