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Organization

JELANI, INC

Active
Other names
Jelani Mission Recovery House
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARGARET GOLD (EXECUTIVE OFFICER)
(415) 822-5940
Entity
Organization

Contact information

Practice address
2261 BRYANT ST, SAN FRANCISCO, CA 94110-2833
(415) 206-1560
(415) 206-1569
Mailing address
1601 QUESADA AVE, SAN FRANCISCO, CA 94124-2334
(415) 822-5977
(415) 822-5943

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
380045EN
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C388929
CALOMS NUMBER
CA
Enumeration date
02/07/2007
Last updated
08/22/2020
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