Organization
GREATER SAN FRANCISCO TEEN CHALLENGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER JAMES MOORE POOLE SUDRC1 (EXTENDED PROGRAM COORDINATOR)
(415) 678-0627
Entity
Organization
Contact information
Practice address
1464 VALENCIA ST, SAN FRANCISCO, CA 94110-3717
(415) 285-1353
Mailing address
1464 VALENCIA ST, SAN FRANCISCO, CA 94110-3717
(415) 285-1353
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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