Organization
MOUNT ST JOSEPH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA LEILA KAHLON (INTERN)
(415) 351-4045
Entity
Organization
Contact information
Practice address
100 MASONIC AVE, SAN FRANCISCO, CA 94118-4415
(415) 567-8370
Mailing address
100 MASONIC AVE, SAN FRANCISCO, CA 94118-4415
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/14/2007
Last updated
08/22/2020
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