# UNIVERSITY OF CALIFORNIA, SAN FRANCISCO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Citywide Stimulant Treatment Out-Patient Program
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457550238
- **Authorized official:** GRACE FERNANDEZ (DIRECTOR, CPG BUSINESS SERVICES)
- **Authorized official phone:** (415) 206-8969

## Contact information

- **Practice address:** 1263 MISSION ST, SAN FRANCISCO, CA 94103-2705
- **Practice address phone:** (415) 502-3000
- **Practice address fax:** (415) 514-6466
- **Mailing address:** PO BOX 743749, LOS ANGELES, CA 90074-3749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/12/2007
- **Last updated:** 04/02/2024