Provider Demographics
NPI:1821280132
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:SAN FRANCISCO BOYS & GIRLS HOME EUCLID
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIR OF CONTRACTS & GRANTS
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-972-1211
Mailing Address - Street 1:1555 39TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-3015
Mailing Address - Country:US
Mailing Address - Phone:415-972-1211
Mailing Address - Fax:
Practice Address - Street 1:823 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-2510
Practice Address - Country:US
Practice Address - Phone:415-221-3443
Practice Address - Fax:415-387-1627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-10
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA385650001251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health