Organization · Type 2 NPI

Progress Foundation

Mental Illness Community Based Residential Treatment Facility · San Rafael, CA

NPI number 1487388799 Active

Practice location

920 Grand Ave
San Rafael, CA 94901-3506

Call (707) 255-9028 Map

Fax (707) 255-3715

Mailing address

368 Fell St
San Francisco, CA 94102-5144

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

55 other providers at this address

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NPI record

NPI: 1487388799
Entity type: Organization (Type 2)
Issued: Jul 12, 2022
Last updated: Nov 13, 2022
Status: Active

Other names

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Grand Avenue · doing business as
Grand Avenue · other name

Authorized official

Bernadette Santiago Navarro-Simeon, PhD
Director of Clinical Administration
(415) 861-0828

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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 1487388799

Progress Foundation's National Provider Identifier is 1487388799, issued on Jul 12, 2022. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in San Rafael, CA. The record was last updated on Nov 13, 2022.