Organization
JELANI, INC
Active
Other names
Jelani Family Program
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGARET GOLD (EXECUTIVE DIRECTOR)
(415) 822-5940
Entity
Organization
Contact information
Practice address
1638 KIRKWOOD AVE, SAN FRANCISCO, CA 94124-2137
(415) 671-1165
(415) 970-0438
Mailing address
1601 QUESADA AVE, SAN FRANCISCO, CA 94124-2334
(415) 822-5977
(415) 822-5943
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
380045DN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38502
REPORTING UNIT NUMBER
CA
Enumeration date
02/08/2007
Last updated
08/22/2020
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