Organization
EPIPHANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SISTER ESTELA MORALES (EXECUTIVE DIRECTOR)
(415) 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
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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