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Organization

MCAULEY ADOLESCENT DAY TREATMENT CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CARMEN GOODIN (LMFT)
(415) 750-5693
Entity
Organization

Contact information

Practice address
450 STANYAN ST, SAN FRANCISCO, CA 94117-1019
(415) 750-5693
Mailing address
450 STANYAN ST, SAN FRANCISCO, CA 94117-1019

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Enumeration date
06/19/2012
Last updated
06/19/2012
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