Individual provider · Type 1 NPI

Charlene Jade Crisostomo Premyodhin

Community/Behavioral Health Agency · San Francisco, CA

NPI number 1225249071 Active

Practice location

312 Plymouth Ave
San Francisco, CA 94112-3026

Call (714) 452-7776 Map

Fax (415) 776-1006

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1225249071

Charlene Jade Crisostomo Premyodhin's National Provider Identifier is 1225249071, issued on May 24, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in San Francisco, CA. The record was last updated on Jul 8, 2007.