Organization
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
Active
Other names
DSAAM Opiate Treatment Out-Patient Program Detox
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE FERNANDEZ (DIRECTOR, CPG BUSINESS SERVICES)
(415) 206-8969
Entity
Organization
Contact information
Practice address
1001 POTRERO AVE, SFGHMC, BLDG.90, WARD 95, SAN FRANCISCO, CA 94110-3518
(415) 206-8412
(415) 206-6875
Mailing address
PO BOX 7464, DSAAM METHADONE DETOX, SAN FRANCISCO, CA 94120-7464
(415) 502-7648
(415) 502-8175
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
07/27/2007
Last updated
10/02/2007
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