Individual
MR. MICHAEL L. RED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CATC
Contact information
Practice address
637 SO. VAN NESS AVE., SAN FRANCISCO, CA 94110
(415) 293-7320
(415) 626-9188
Mailing address
637 S VAN NESS AVE, SAN FRANCISCO, CA 94110-1305
(415) 293-7320
(415) 626-9188
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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