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Organization

NALLS FOUNDATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TINA DOLLISON (EXECUTIVE DIRECTOR)
(415) 505-6427
Entity
Organization

Contact information

Practice address
131 PERSIA AVE, SAN FRANCISCO, CA 94112-2717
(415) 586-1275
Mailing address
PO BOX 460338, SAN FRANCISCO, CA 94146-0338
(415) 586-1275

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
385650019
CA

Other

Enumeration date
03/22/2017
Last updated
03/23/2017
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