Organization · Type 2 NPI

City and County of San Francisco

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

NPI number 1710107784 Active

Practice location

1525 Silver Avenue, 2nd Floor
San Francisco, CA 94134

Specialties and licenses

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

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

Another provider at this address

Sieow Limsico, DDSDentist San Francisco, CA NPI 1871520775

Other mental health clinic/center (including community mental health center) providers in San Francisco

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NPI record

NPI: 1710107784
Entity type: Organization (Type 2)
Issued: May 1, 2007
Last updated: May 22, 2019
Status: Active
Subpart: Yes of City and County of San Francisco

Other names

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Southeast Child/family Therapy 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 1710107784

City and County of San Francisco's National Provider Identifier is 1710107784, 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 May 22, 2019.