Organization
CATHOLIC CHARITIES CYO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN HENSON LMFT (DAY TREATMENT COORDINATOR)
(415) 507-4250
Entity
Organization
Contact information
Practice address
1 SAINT VINCENTS DR, SAN RAFAEL, CA 94903-1504
(415) 507-2000
Mailing address
180 HOWARD ST, SUITE 100, SAN FRANCISCO, CA 94105-1614
(415) 972-1200
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
12/22/2006
Last updated
08/22/2020
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