Organization
YOUTH JUSTICE INSTITUTE
Active
Other names
Tides Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GENA CASTRO RODRIGUEZ (PROJECT DIRECTOR)
(415) 753-7670
Entity
Organization
Contact information
Practice address
375 WOODSIDE AVE BLDG W2, SAN FRANCISCO, CA 94127-1221
(415) 753-7670
Mailing address
375 WOODSIDE AVE BLDG W2, SAN FRANCISCO, CA 94127-1221
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
10/20/2009
Last updated
11/30/2009
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