Organization
UNIVERSITY OF CALIFRONIA, SAN FRANCISCO
Active
Other names
Department of Psychiatry, Child and Adolescent Services
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE FERNANDEZ (DIRECTOR, CPG BUSINESS SERVICES)
(415) 476-8969
Entity
Organization
Contact information
Practice address
1001 POTRERO AVE, BUILDING 5, SUITE 6B, SAN FRANCISCO, CA 94110
(415) 206-4444
(415) 206-3142
Mailing address
PO BOX 7464, SAN FRANCISCO, CA 94120-7464
(415) 502-0661
(415) 476-6202
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
07/09/2018
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