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Organization
YOUTH SERVICE BUREAU OF THE YMCA
Active
Organization
YOUTH SERVICE BUREAU OF THE YMCA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA HOEPKE (DIRECTOR OF OPERATIONS)
(650) 877-8642
Entity
Organization
Contact information
Practice address
1486 HUNTINGTON AVE STE 100, SOUTH SAN FRANCISCO, CA 94080-5971
(650) 877-8642
Mailing address
1486 HUNTINGTON AVE STE 100, SOUTH SAN FRANCISCO, CA 94080-5971
(650) 877-8642
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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