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Organization
SITIKE,INC
Active
Organization
SITIKE,INC
Active
Other names
Sitike Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH A. WAGENHOFER (EXECUTIVE DIRECTOR)
(650) 589-9305
Entity
Organization
Contact information
Practice address
306 SPRUCE AVE, SOUTH SAN FRANCISCO, CA 94080-2741
(650) 589-9305
(650) 589-9330
Mailing address
306 SPRUCE AVE, SOUTH SAN FRANCISCO, CA 94080-2741
(650) 589-9305
(650) 589-9330
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
410023AN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410023AN
STATE DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS
CA
Enumeration date
06/13/2011
Last updated
09/14/2015
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