Organization
GENTRY ICF, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ALBERO (DIRECTOR/PRES)
(650) 544-8999
Entity
Organization
Contact information
Practice address
2725 SHANNON DR, SOUTH SAN FRANCISCO, CA 94080-5319
(650) 544-8999
(650) 355-4456
Mailing address
2040 SEA CLIFF WAY, SAN BRUNO, CA 94066-1043
(650) 544-8999
(650) 355-4456
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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