Provider Demographics
NPI:1194845156
Name:YMCA OF SAN FRANCISCO
Entity Type:Organization
Organization Name:YMCA OF SAN FRANCISCO
Other - Org Name:YOUTH SERVICE BUREAU- PACIFICA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-281-6700
Mailing Address - Street 1:631 HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-3907
Mailing Address - Country:US
Mailing Address - Phone:415-281-6700
Mailing Address - Fax:
Practice Address - Street 1:435 EDGEMAR AVE
Practice Address - Street 2:
Practice Address - City:PACIFICA
Practice Address - State:CA
Practice Address - Zip Code:94044-1961
Practice Address - Country:US
Practice Address - Phone:650-355-3900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health