Organization
PROGRESS FOUNDATION
Active
Other names
Grand Avenue, Grand Avenue
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE SANTIAGO NAVARRO-SIMEON PHD (DIRECTOR OF CLINICAL ADMINISTRATION)
(415) 861-0828
Entity
Organization
Contact information
Practice address
920 GRAND AVE, SAN RAFAEL, CA 94901-3506
(707) 255-9028
(707) 255-3715
Mailing address
368 FELL ST, SAN FRANCISCO, CA 94102-5144
(415) 861-0828
(415) 861-0140
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/12/2022
Last updated
11/13/2022
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