Organization
GUBATINA RESIDENTIAL CARE HOME II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFONSO GUBATINA (LICENSEE/ADMINISTRATOR)
(415) 584-9906
Entity
Organization
Contact information
Practice address
358 MONTICELLO ST, SAN FRANCISCO, CA 94132-2636
(415) 334-6652
Mailing address
2393 ALEMANY BLVD, SAN FRANCISCO, CA 94112-3345
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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