Provider Demographics
NPI:1629158431
Name:CATHOLIC CHARITIES CYO OF THE ARCHDIOCESE OF SAN FRANCISCO
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES CYO OF THE ARCHDIOCESE OF SAN FRANCISCO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SERVICES OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:KINAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-507-4213
Mailing Address - Street 1:990 EDDY ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-7713
Mailing Address - Country:US
Mailing Address - Phone:415-972-1200
Mailing Address - Fax:415-972-1201
Practice Address - Street 1:990 EDDY ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-7713
Practice Address - Country:US
Practice Address - Phone:415-972-1200
Practice Address - Fax:415-972-1201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health