Organization
YOUTH SERVICE BUREAU OF THE YMCA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA HOEPKE (DIRECTOR OF OPERATIONS)
(650) 877-8642
Entity
Organization
Contact information
Practice address
1486 HUNTINGTON AVE STE 100, SOUTH SAN FRANCISCO, CA 94080-5971
(650) 877-8642
Mailing address
1486 HUNTINGTON AVE STE 100, SOUTH SAN FRANCISCO, CA 94080-5971
(650) 877-8642
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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