| Instituto Familiar De La Raza | |
|
5128 Mission St San Francisco CA 94112 | |
| (415) 229-0500 | |
| (415) 647-3662 |
| Full Name | Instituto Familiar De La Raza |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5128 Mission St, San Francisco, California |
| Authorized Official Name and Position | Clery Villacrez (CONTRACTS MANAGER) |
| Authorized Official Contact | 4152290500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Instituto Familiar De La Raza 2919 Mission St San Francisco CA 94110-3917 Ph: (415) 229-0500 | Instituto Familiar De La Raza 5128 Mission St San Francisco CA 94112 Ph: (415) 229-0500 |
| NPI Number | 1225544638 |
|---|---|
| Provider Enumeration Date | 12/20/2017 |
| Last Update Date | 06/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225544638 | NPI | - | NPPES |
| IFR2919IN | Other | SAM -SYSTEM OF AWARD MANAGEMENT REGISTRATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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