Organization
MISSION COUNCIL
Active
Organization
MISSION COUNCIL
Active
Other names
Family Day Treatment and Aftercare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD CHAVEZ-SMITH MA, MPH (EXECUTIVE DIRECTOR)
(415) 826-6767
Entity
Organization
Contact information
Practice address
474 VALENCIA ST STE 135, SAN FRANCISCO, CA 94103-3415
(415) 864-0554
(415) 701-1868
Mailing address
474 VALENCIA ST STE 135, SAN FRANCISCO, CA 94103-3415
(415) 864-0554
(415) 701-1868
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
380008BN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4158640554
FACILITY
CA
Enumeration date
12/28/2007
Last updated
12/28/2007
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