Organization
CONARD HOUSE JACKSON STREET RESIDENTIAL PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUISE FOO PH.D. (DIRECTOR OF CLINICAL PROGRAMS)
(415) 346-6380
Entity
Organization
Contact information
Practice address
2441 JACKSON ST, SAN FRANCISCO, CA 94115-1324
(415) 346-6380
(415) 346-1058
Mailing address
2441 JACKSON ST, SAN FRANCISCO, CA 94115-1324
(415) 346-6380
(415) 346-1058
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
06/22/2007
Last updated
08/22/2020
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