Organization · Type 2 NPI

City & County of San Francisco

Mental Health Clinic/Center (Including Community Mental Health Center) · San Francisco, CA

NPI number 1386864346 Active

Practice location

759 South Van Ness Avenue
San Francisco, CA 94110-1908

Fax (415) 695-6963

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

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NPI record

NPI: 1386864346
Entity type: Organization (Type 2)
Issued: May 1, 2007
Last updated: Aug 22, 2014
Status: Active
Subpart: Yes of San Francisco City & County - Department of Public Health

Other names

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Mission Family Center · doing business as

Authorized official

Chona G. Bautista-Peralta, LCSW
Compliance Officer
(415) 255-3443

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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 1386864346

City & County of San Francisco's National Provider Identifier is 1386864346, issued on May 1, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in San Francisco, CA. The record was last updated on Aug 22, 2014.