Provider Demographics
NPI:1225334154
Name:THE SPAHR CENTER
Entity Type:Organization
Organization Name:THE SPAHR CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:MALONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-457-2487
Mailing Address - Street 1:150 NELLEN AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:CORTE MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:94925-1197
Mailing Address - Country:US
Mailing Address - Phone:415-457-2487
Mailing Address - Fax:415-457-5687
Practice Address - Street 1:150 NELLEN AVE STE 100
Practice Address - Street 2:
Practice Address - City:CORTE MADERA
Practice Address - State:CA
Practice Address - Zip Code:94925-1197
Practice Address - Country:US
Practice Address - Phone:415-457-2487
Practice Address - Fax:415-457-5687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-10
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)