Individual
JACKIE SIMS PILJAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCS
Contact information
Practice address
815 BUENA VISTA AVE W, SAN FRANCISCO, CA 94117-4108
(415) 934-6872
(415) 863-0622
Mailing address
1125 TOKAY CMN, LIVERMORE, CA 94550-4855
(925) 337-3675
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
380019BN
CA
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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