Organization
YOUTH LEADERSHIP INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA BARAHONA (INTERIM CEO)
(732) 735-3830
Entity
Organization
Contact information
Practice address
209 9TH ST STE 200, SAN FRANCISCO, CA 94103-6800
(628) 400-9252
Mailing address
209 9TH ST STE 200, SAN FRANCISCO, CA 94103-6800
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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