Organization
TIDES CENTER
Active
Parent organization
TIDES CENTER
Other names
Adolescent Health Working Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
TIDES CENTER
Authorized official
SARAH RODRIGUEZ'G M.S. (EXECUTIVE DIRECTOR)
(415) 236-1166
Entity
Organization
Contact information
Practice address
1008 GENERAL KENNEDY AVE, SUITE R, SAN FRANCISCO, CA 94129-1729
(415) 236-1166
Mailing address
1008 GENERAL KENNEDY AVE, SUITE R, SAN FRANCISCO, CA 94129-1729
(415) 236-1166
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
08/19/2013
Last updated
12/16/2016
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