Organization
INSTITUTO FAMILIAR DE LA RAZA
Active
Parent organization
INSTITUTO FAMILIAR DE LA RAZA
Organization subpart
Yes
Provider details
NPI number
Legal business name
INSTITUTO FAMILIAR DE LA RAZA
Authorized official
CLERY VILLACREZ (CONTRACTS MANAGER)
(415) 229-0500
Entity
Organization
Contact information
Practice address
5128 MISSION ST, SAN FRANCISCO, CA 94112
(415) 229-0500
(415) 647-3662
Mailing address
2919 MISSION ST, SAN FRANCISCO, CA 94110-3917
(415) 229-0500
(415) 647-3662
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IFR2919IN
SAM -SYSTEM OF AWARD MANAGEMENT REGISTRATION
—
Enumeration date
12/20/2017
Last updated
06/18/2018
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