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Organization
FATHERS TO FOUNDERS
Active
Organization
FATHERS TO FOUNDERS
Active
Other names
Fathers To Founders
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELGIN LYNIERE ROSE SR. (EXECUTIVE DIRECTOR)
(510) 343-1934
Entity
Organization
Contact information
Practice address
1188 MISSION ST APT 517, SAN FRANCISCO, CA 94103-1593
(510) 343-1934
Mailing address
1188 MISSION ST APT 517, SAN FRANCISCO, CA 94103-1593
(510) 343-1934
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
Other
Enumeration date
11/26/2024
Last updated
09/10/2025
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