Organization
FORT HELP MISSION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEENA SIMON RN (SAN FRANCISCO DIRECTOR)
(415) 827-1428
Entity
Organization
Contact information
Practice address
1101 CAPP ST, SAN FRANCISCO, CA 94110-4697
(661) 254-6630
Mailing address
1101 CAPP ST, SAN FRANCISCO, CA 94110-4697
(661) 254-6630
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
38-22
CA
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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