Organization
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
Active
Other names
Department of Psychiatry, CASARC
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE FERNANDEZ (DIRECTOR, CPG BUSINESS SERVICES)
(415) 206-8969
Entity
Organization
Contact information
Practice address
995 POTRERO AVE, BLDG 80, WARD 80, BASEMENT ROOM 8000 S, SAN FRANCISCO, CA 94110
(415) 206-8386
(415) 206-6273
Mailing address
PO BOX 7464, SAN FRANCISCO, CA 94120-7464
(415) 502-7648
(415) 502-8175
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
CA
Other
Enumeration date
06/26/2007
Last updated
05/18/2018
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