Organization
MT. ST. JOSEPH-ST. ELIZABETH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN POPE (SUBSTANCE ABUSE TREATMENT COOR.)
(405) 567-8370
Entity
Organization
Contact information
Practice address
100 MASONIC AVE, SAN FRANCISCO, CA 94118-4415
(415) 567-8370
(415) 292-5531
Mailing address
100 MASONIC AVE, SAN FRANCISCO, CA 94118-4415
(415) 567-8370
(415) 292-5531
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
380081CN
CA
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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