Organization
JERICHO PROJECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA MUNOZ SUDCC 3-CS (SUPERVISING COUNSELOR)
(415) 306-4301
Entity
Organization
Contact information
Practice address
430 VALLEY DR, BRISBANE, CA 94005-1210
(415) 656-1700
Mailing address
PO BOX 2367, BRISBANE, CA 94005-2367
(650) 515-2828
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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