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Organization
SUBSTANCE USE DISORDER SERVICES
Active
Organization
SUBSTANCE USE DISORDER SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TOSHIA WEBSTER (SUPERVISOR)
(415) 822-8200
Entity
Organization
Contact information
Practice address
1625 CARROLL AVE, SAN FRANCISCO, CA 94124-3219
(415) 822-8200
(415) 822-6822
Mailing address
1625 CARROLL AVE, SAN FRANCISCO, CA 94124-3219
(415) 822-8200
(415) 822-6822
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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