Provider Demographics
NPI:1609326198
Name:SAN FRANCISCO WOMEN'S REHABILITATION FOUNDATION
Entity Type:Organization
Organization Name:SAN FRANCISCO WOMEN'S REHABILITATION FOUNDATION
Other - Org Name:STEPPING STONE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARCY
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:KAPSINOW
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:415-751-5921
Mailing Address - Street 1:255 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-2212
Mailing Address - Country:US
Mailing Address - Phone:415-751-5921
Mailing Address - Fax:415-751-5130
Practice Address - Street 1:255 10TH AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-2212
Practice Address - Country:US
Practice Address - Phone:415-751-5921
Practice Address - Fax:415-751-5130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-07
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA380032AN320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA261QR0400XMedicaid
CA261QR0405XOtherPRIVATE INSURANCE