Organization
EXCLUSIVE BOARD AND CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GENEVA R SPARKS (LICENSEE OWNER)
(415) 922-1885
Entity
Organization
Contact information
Practice address
1856 MCALLISTER ST, SAN FRANCISCO, CA 94115
(415) 922-1885
(415) 922-1706
Mailing address
1856 MCALLISTER ST, SAN FRANCISCO, CA 94115
(415) 922-1885
(415) 922-1706
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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