Organization · Type 2 NPI

City & County of San Francisco

Substance Abuse Rehabilitation Facility · San Francisco, CA

NPI number 1265916696 Active

Practice location

555 Polk St
San Francisco, CA 94102-3333

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed
Children's Substance Abuse Rehabilitation Facility	3245S0500X	None listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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NPI record

NPI: 1265916696
Entity type: Organization (Type 2)
Issued: Sep 21, 2018
Last updated: Sep 21, 2018
Status: Active
Subpart: Yes of City & County of San Francisco

Other names

Drug Court Treatment Center · doing business as

Authorized official

Chona G. Bautista-Peralta, LCSW
Compliance Officer
(415) 255-3706

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1265916696

City & County of San Francisco's National Provider Identifier is 1265916696, issued on Sep 21, 2018. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in San Francisco, CA. The record was last updated on Sep 21, 2018.