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Organization

UNIVERSITY OF CALIFORNIA, SAN FRANCISCO

Active
Other names
Citywide Stimulant Treatment Out-Patient Program
Organization subpart
No

Provider details

NPI number
Authorized official
GRACE FERNANDEZ (DIRECTOR, CPG BUSINESS SERVICES)
(415) 206-8969
Entity
Organization

Contact information

Practice address
1263 MISSION ST, SAN FRANCISCO, CA 94103-2705
(415) 502-3000
(415) 514-6466
Mailing address
PO BOX 743749, LOS ANGELES, CA 90074-3749

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Enumeration date
07/12/2007
Last updated
04/02/2024
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