Provider Demographics
NPI:1225101652
Name:RICHMOND AREA MULTI-SERVICES
Entity Type:Organization
Organization Name:RICHMOND AREA MULTI-SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:WAI WAI
Authorized Official - Middle Name:VICKY
Authorized Official - Last Name:CHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MFTI
Authorized Official - Phone:415-668-5998
Mailing Address - Street 1:4020 BALBOA ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-2569
Mailing Address - Country:US
Mailing Address - Phone:415-668-5998
Mailing Address - Fax:
Practice Address - Street 1:4020 BALBOA ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-2569
Practice Address - Country:US
Practice Address - Phone:415-668-5998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF 41801251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health