Organization
MOUNT SAINT JOSEPH AND ELIZABETH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER ANNE WOODS M.A. (MFTI)
(510) 251-1033
Entity
Organization
Contact information
Practice address
100 MASONIC AVE, SAN FRANCISCO, CA 94118-4415
(415) 567-8370
Mailing address
100 MASONIC AVE, SAN FRANCISCO, CA 94118-4415
(415) 567-8370
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952449316
MEDICAL
CA
Enumeration date
08/06/2009
Last updated
08/06/2009
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