Organization
MISSION FAMILY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULY UGAS (PROGRAM DIRECTOR)
(415) 642-4571
Entity
Organization
Contact information
Practice address
759 S VAN NESS AVE, SAN FRANCISCO, CA 94110-1908
(415) 642-4550
(415) 695-6963
Mailing address
759 S VAN NESS AVE, SAN FRANCISCO, CA 94110-1908
(415) 642-4550
(415) 695-6963
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174400000X
SERVICE PROVIDER SPECIALIST
CA
Enumeration date
04/19/2013
Last updated
04/19/2013
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