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NPI 1255523635 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1255523635
Enumeration Date 08/09/2007
Last Updated 08/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CECILIA CECILIA
Position OFFICE MANAGER
Phone (415) 255-0371
Fax
Practice Location
3265 17TH ST STE 205
SAN FRANCISCO CA, 94110-1258, US
Phone (415) 255-0371
Fax
Business Location
2111 MISSION ST STE 205
SAN FRANCISCO CA, 94110-1274, US
Phone
Fax
Toxanomy
Taxonomy Code 251S00000X
License State California
License Number 3800404100
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According to our database, Iadet NPI is 1255523635, taxonomy code is 251S00000X and license number is 3800404100, license state is located at California. Iadet physically located at 3265 17th St Ste 205, San Francisco CA, 94110-1258. NPI Number 1033115704 has the healthcare provider type.

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1255523635 NPI number is provided on an as is basis without warranty of any kind. 1255523635 is maintained by the National Plan & Provider Enumeration System. The contents of Iadet are for informational purposes only.